Thyroid nodules: time to stop over-reporting normal findings and update consensus guidelines

@article{Hofman2013ThyroidNT,
  title={Thyroid nodules: time to stop over-reporting normal findings and update consensus guidelines},
  author={Michael S. Hofman},
  journal={BMJ : British Medical Journal},
  year={2013},
  volume={347}
}
  • M. Hofman
  • Published 25 September 2013
  • Medicine
  • BMJ : British Medical Journal
Brito and colleagues correctly highlight the increased detection of incidental papillary thyroid cancers through computed tomography and ultrasonography, but their suggestion of a randomised trial of immediate treatment versus surveillance is not sensible.1 Such a trial would need large numbers of patients and decades of follow-up, with high cost; it … 
Ultrasound of Thyroid Nodules.
TLDR
Thyroid nodules are a common finding in the general population and a significant number of patients undergo surgery for diagnostic rather than for therapeutic reasons, and several imaging and reporting systems, giving standardized categories with rates of malignancy, were evaluated as a basis for further clinical management.
Spectral CT imaging of intranodular hemorrhage in cases with challenging benign thyroid nodules
TLDR
GSI analysis of DECT data differentiates challenging benign thyroid nodule conditions in patients with intranodular hemorrhages, potentially yielding additional molecular data about complex lesion characteristics no apparent in conventional imaging or laboratory methods.
Radionuclide imaging and treatment of thyroid cancer.
TLDR
This review will discuss the development of nuclear medicine in TC examination and treatment with a focus on the classical method of ingestion of radioactive iodine-131 and subsequent I123 and I124 positron emission tomography in therapy and examination.
EUROPEAN ACADEMIC RESEARCH, VOL
In this study, the proximate composition, phenolic compounds, antinutritional factors and viscosity in gingerbread plum kernel (GPK) paste and flour from Niger and Guinea were determined. Results of

References

SHOWING 1-4 OF 4 REFERENCES
Thyroid cancer: zealous imaging has increased detection and treatment of low risk tumours
TLDR
Thyroid cancer is the most common endocrine malignancy worldwide and its incidence has increased substantially over the past 50 years, according to the latest Cancer Incidence in Five Continents report.
Occult papillary carcinoma of the thyroid. A “normal” finding in finland. A systematic autopsy study
TLDR
According to the study, OPC can be regarded as a normal finding which should not be treated when incidentally found and in order to avoid unnecessary operations it is suggested that incidentally found small OPCs were called occult papillary tumor instead of carcinoma.
Thyroid nodules: is it time to turn off the US machines?
TLDR
A well-organized multicenter study evaluating ultrasonographic (US) findings associated with benign and malignant thyroid nodules is presented, looking to establish more specific criteria and ultimately define histologic specificity in distinguishing benign from malignant nodules.
Overdiagnosis in cancer.
TLDR
The two prerequisites for cancer overdiagnosis to occur are described: the existence of a silent disease reservoir and activities leading to its detection (particularly cancer screening), and the magnitude of over diagnosis from randomized trials.