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Published in: European Archives of Oto-Rhino-Laryngology 7/2010

01-07-2010 | REVIEW ARTICLE

Thyroid incidentalomas: to treat or not to treat

Authors: N. G. Iyer, Ashok R. Shaha, Carl E. Silver, Kenneth O. Devaney, Alessandra Rinaldo, Phillip K. Pellitteri, Alfio Ferlito

Published in: European Archives of Oto-Rhino-Laryngology | Issue 7/2010

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Abstract

Incidental lesions of the thyroid gland are an increasing problem facing clinicians. While asymptomatic palpable lesions are detected in only 4–7% of the population, currently available imaging modalities are sensitive enough to detect lesions in 20–30% of the population. Guidelines for managing these incidentalomas are limited, largely due to lack of well-powered prospective studies. This review will address the currently available data on thyroid incidentalomas, detected through clinical examination, cross-sectional imaging, ultrasound, and PET scans. We will focus on the modalities of detection and risk of malignancy, further investigation and management options and the deficiencies therein. We propose a pragmatic algorithm when faced with this clinical dilemma under differing circumstances.
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Metadata
Title
Thyroid incidentalomas: to treat or not to treat
Authors
N. G. Iyer
Ashok R. Shaha
Carl E. Silver
Kenneth O. Devaney
Alessandra Rinaldo
Phillip K. Pellitteri
Alfio Ferlito
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 7/2010
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-010-1207-1

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