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Curiosidades sobre nódulo tireoidiano

Atualizado: 27 de abr. de 2021

  1. Até 4-7% são diagnosticados através da palpação cervical realizado pelo seu endocrinologista.

  2. Até 68% são diagnosticados através de exames de imagem - MAS CALMA! USG de rastreio NÃO é indicado.

  3. Taxa de malignidade de 5-8%.

  4. Aproximadamente 90% dos nódulos são benignos e 95% são assintomáticos.

  5. A prevalência de nódulos tireoidianos aumenta com a idade, sexo feminino e índice de massa corporal.

  6. Fatores de risco para malignidade:

- irradiação de região cervical, cabeça ou corpo inteiro na infância;

- história familiar de câncer de tireoide;

- síndrome hereditárias que estão associadas a câncer de tireoide;

- rápido crescimento nodular;

- nódulo endurecido, firme.



Referências:



1. Werk EE Jr, Vernon BM, Gonzalez JJ, et al. Cancer in thyroid nodules. A community hospital survey. Arch Intern Med 1984; 144:474.


2. Belfiore A, Giuffrida D, La Rosa GL, et al. High frequency of cancer in cold thyroid nodules occurring at young age. Acta Endocrinol (Copenh) 1989; 121:197.


3. Hegedüs L. Clinical practice. The thyroid nodule. N Engl J Med 2004; 351:1764.


4. Lin JD, Chao TC, Huang BY, et al. Thyroid cancer in the thyroid nodules evaluated by ultrasonography and fine-needle aspiration cytology. Thyroid 2005; 15:708.


5. Kwong N, Medici M, Angell TE, et al. The Influence of Patient Age on Thyroid Nodule Formation, Multinodularity, and Thyroid Cancer Risk. J Clin Endocrinol Metab 2015; 100:4434.


6. National Comprehensive Cancer Network http://www.nccn.org/professionals/physician_gls/f_guidelines.asp (Accessed on July 11, 2013).


7. Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid 2016; 26:1.


8. Steele SR, Martin MJ, Mullenix PS, et al. The significance of incidental thyroid abnormalities identified during carotid duplex ultrasonography. Arch Surg 2005; 140:981.


9. Hagag P, Strauss S, Weiss M. Role of ultrasound-guided fine-needle aspiration biopsy in evaluation of nonpalpable thyroid nodules. Thyroid 1998; 8:989.


10. Leenhardt L, Hejblum G, Franc B, et al. Indications and limits of ultrasound-guided cytology in the management of nonpalpable thyroid nodules. J Clin Endocrinol Metab 1999; 84:24.


11. Nam-Goong IS, Kim HY, Gong G, et al. Ultrasonography-guided fine-needle aspiration of thyroid incidentaloma: correlation with pathological findings. Clin Endocrinol (Oxf) 2004; 60:21.

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