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Revista Médica de Costa Rica y Centroamérica

Colegio de Medicos y Cirujanos República de Costa Rica
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2008, Number 586

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Rev Med Cos Cen 2008; 65 (586)

Evaluación diagnóstica de nódulo tiroideo

Soto BMA
Full text How to cite this article

Language: Spanish
References: 14
Page: 371-375
PDF size: 215.28 Kb.


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ABSTRACT

Propose of study of the Thyroid Nodule is its incidence, because, it is perhaps the most frequency endocrine problem in the world, and its particulars interest for relation with thyroid cancer. Defined as a clinical condition, characterized for growing in a specific point (focused) unique or multiple, in the thyroid gland. It is more frequency in women, can be presented in all ages, but it has more incidence in the third and fourth decade of life. The majority has no symptoms; they can be discovered by chance, so rarely they obtain dimensions such as they can produce local manifestation (dysphagia, dysphonia) on systemic (hyperthyroidism). From the thyroid nodules more than 90% are adenomas and like a 10 % are malignant. Data from the clinic history in which we can suspect a lesion malignant are in extreme ages of life, male sex, evolution time, fast growing, pain, symptoms of compression and cervical adenopathy, head, neck and chest irradiation history, family history of MEN type II. Physical examination should describe the characteristics of the nodule (size, consistence, and fixation) and cervical adenopathy. Diagnosis management includes Thyroid function test, isotope scan, and ultrasound, Fine needle aspiration, this will definitive its treatment and prognosis.


REFERENCES

  1. Capurro Daniel, Dr. Nódulo Tiroideo. http://escuela.med.puc.cl/paginas/publicaciones/TemasMedicinaInterna/pdf/NoduloTiroideo.pdf

  2. Castro, M et al Effectiveness of thyroid hormone suppressive therapy in benign solitary thyroid nodules: a meta-analysis. J Clin Endocrinol Metab. Volumen 87:4154-9. 2002

  3. Colegio Internacional de Médicos Nucleares. Universidad Católica de Chile. http://escuela.med.puc.cl/paginas/publicaciones/TemasMedicinaInterna/pdf/NoduloTiroideo.pdf

  4. DeGroot LJ et al. The Thyroid and Its Diseases. (www.thyroidmanager.org) 2000.

  5. Doherty, Gerard et al Washington Manual de Cirugía. Segunda Edición. Marbán Libros, España. 2001.

  6. Furio Pacini, MD et al. Thyroid nodules. Chapter 18 (www.thyroidmanager.org) 2004

  7. Hermus AR, et al Treatment of benign nodular thyroid disease. N Engl J Med 1998; 338: 1438-47

  8. Hurtado López, Dr. http://www.clinicadetiroides.com.mx/tiroides02A

  9. Mazzaferri et al. Management of a solitary thyroid nodule. N Engl J Med 1993; 328: 553-9

  10. Navarro, Daysi Dr. Patogenia de Nódulo Tiroideo. Revista Cubana de Endocrinología, enero-junio, 1995

  11. Sociedad Chilena de Endocrinología y metabolismo. http://www.asocimed.cl/Guias%20Clinicas/endocrinologia/nodulotiroideo.html

  12. Vásquez Rosa Dra. et al Nódulo tiroideo, Consenso 2001. Cirujano General 2002; Volumen 24:76-83.

  13. Villegas AS, et al . Epidemiología del nódulo tiroideo. Cirugía General. 2001; 23(4):283-289.

  14. Vinocour Mary Dr. Utilidad Clínica de Pruebas de Función tiroidea. Actualización Médica Periódica. Número 35. Abril. 2004




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Rev Med Cos Cen. 2008;65