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Revista Médica de Costa Rica y Centroamérica

Colegio de Medicos y Cirujanos República de Costa Rica
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2013, Number 605

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Rev Med Cos Cen 2013; 70 (605)

Manejo del nódulo tiroideo

Ramírez S
Full text How to cite this article

Language: Spanish
References: 10
Page: 141-143
PDF size: 212.95 Kb.


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ABSTRACT

Thyroid nodules are a common pathology. The primary goal of studying a thyroid nodule is to exclude malignancy. A thorough medical history and physical exam should be performed, focusing on family history of cancer and the characteristic of the gland. Ultrasound an cytology are the mainstay in the workup of a thyroid nodule since they allow us to determine the risk of malignancy. CT and MRI may be necessary in some cases to evaluate the extension of the pathology. Based on the results of the cytology we will know what the next step is in the patient’s management. Surgery with radio iodine ablation is crucial in the treatment of thyroid carcinoma.


REFERENCES

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  2. American Thyroid Association Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM, Haugen BR, Kloss RT, Lee SL, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 2009; 19: 1167-1214.

  3. Arguedas JA, Nodulo Tiroideo Solitario. Actualización Médica Periódica. 2003;29(10): 46-48.

  4. Bennedback FN, Hegedus L. Management of the Solitary Thyroid Nodule: Results of a North American Survey. JCE & M. 2000; 85(7): 2493-2498.

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  6. Capelli C, Castellano M, Pirola I, Cumetti D, Agosti B, Gandossi E, Agabiti E. The predictive value of ultrasound findings in the management of thyroid nodules. QJ Med. 2007; 100: 29-35.

  7. Jameson JL. Minimizing Unnecessary Surgery for Thyroid Nodules. N Engl J Med 2012. DOI: 10.1056/ NEJMeb1205893.

  8. Woon- Jin M, et al. Ultrasonography and the ultrasound- based Management of Thyroid Nodules: Consensus statement and Recomendations. Korean J Radiol. 2011; 12(1): 1-14

  9. Yean Eng C, Quraishi MS, Bradley PJ. Management of Thyroid Nodules in adult patients. Head and Neck oncology. 2010; 2: 11

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C?MO CITAR (Vancouver)

Rev Med Cos Cen. 2013;70