MANAGEMENT OF SOLITARY THYROID NODULE
Hossam Mohamed saleh;
Abstract
The management of the clinically solitary nodule of the
thyroid gland aims at the diagnosis of the different pathological types of the nodule and at the different lines of treatment.
In this essay, a mention of the development and anatomical features of the thyroid gland was first spotted upon.
Then, a shift to the pathology of the different types of the thyroid nodule, mentioning their clinical and microscope features, was added with differential diagnosis of other swellings misdiagnosed as a solitary nodule of the thyroid gland.
As for the management, a good history must be taken with full clinical examination. There was stress on the different methods of investigation.
Laboratory investigations including: T3, T4, TSH, autoimmune antibodies, serum Calcitonin and serum Thyroglobulin. It is pointed out that laboratory tests give no great help in the evaluation of solitary thyroid nodules.
In case of using thyroid radioactive scanning, while it is sometimes helpful in cases of thyroid carcinoma, its principle value is in the diagnosis of an autonomous toxic nodule.
Ultrasonography of the thyroid gland is used in differentiating the true solitary thyroid nodule from those with multinodular gland. Also it classifies the nodules into solid, cystic, or mixed. However, it admits a little help in determining the pathologic types of the nodule.
At present, FNAC has replaced other methods, and became the first and routine method must be used in diagnosis of solitary thyroid nodule. It has a great accuracy in identification of different pathologic types and in differentiating benign from malignant lesions, except in the follicular tumor
thyroid gland aims at the diagnosis of the different pathological types of the nodule and at the different lines of treatment.
In this essay, a mention of the development and anatomical features of the thyroid gland was first spotted upon.
Then, a shift to the pathology of the different types of the thyroid nodule, mentioning their clinical and microscope features, was added with differential diagnosis of other swellings misdiagnosed as a solitary nodule of the thyroid gland.
As for the management, a good history must be taken with full clinical examination. There was stress on the different methods of investigation.
Laboratory investigations including: T3, T4, TSH, autoimmune antibodies, serum Calcitonin and serum Thyroglobulin. It is pointed out that laboratory tests give no great help in the evaluation of solitary thyroid nodules.
In case of using thyroid radioactive scanning, while it is sometimes helpful in cases of thyroid carcinoma, its principle value is in the diagnosis of an autonomous toxic nodule.
Ultrasonography of the thyroid gland is used in differentiating the true solitary thyroid nodule from those with multinodular gland. Also it classifies the nodules into solid, cystic, or mixed. However, it admits a little help in determining the pathologic types of the nodule.
At present, FNAC has replaced other methods, and became the first and routine method must be used in diagnosis of solitary thyroid nodule. It has a great accuracy in identification of different pathologic types and in differentiating benign from malignant lesions, except in the follicular tumor
Other data
| Title | MANAGEMENT OF SOLITARY THYROID NODULE | Other Titles | تقييم العقدة الدرقية المنفردة | Authors | Hossam Mohamed saleh | Issue Date | 2000 |
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