甲状腺结节广泛流行，且常常是偶然发现的。偶发性甲状腺结节的恶性率较低，无论诊断如何，总体结果都是有利的。甲状腺结节患者应先评估 TSH 水平，然后进行甲状腺和颈部淋巴结超声检查。重要的是要识别可疑甲状腺恶性肿瘤的超声特征，并根据主要学会指南进行活检。贝塞斯达甲状腺细胞病理学报告系统和分子检测可以帮助指导有关甲状腺结节的管理决策。手术切除和其他新兴技术对于治疗需要干预的甲状腺结节是安全有效的。版权所有 © 2024 Elsevier Inc. 保留所有权利。

Thyroid nodules are widely prevalent, and often discovered incidentally. Malignancy rates are low for incidental thyroid nodules, and overall outcomes are favorable regardless of diagnosis. Patients with thyroid nodules should be evaluated with TSH levels followed by ultrasound of the thyroid and cervical lymph nodes. It is important to recognize sonographic features suspicious for thyroid malignancy and obtain biopsies when indicated according to major society guidelines. The Bethesda System for Reporting Thyroid Cytopathology along with molecular testing can help guide management decisions regarding thyroid nodules. Surgical resection and other emerging technologies are safe and effective for the treatment of thyroid nodules needing intervention.Copyright © 2024 Elsevier Inc. All rights reserved.