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Correspondence
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Volume 329:360-361 July 29, 1993 Number 5
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Solitary Thyroid Nodules

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 by Mazzaferri, E. L.
To the Editor: Dr. Mazzaferri (Feb. 25 issue)1 recommends the use of radionuclide scanning when fine-needle aspiration biopsy yields indeterminate results in the evaluation of a solitary thyroid nodule. This is done to identify hot nodules that can then be observed or treated medically. A hot nodule, by definition, autonomously secretes thyroxine in sufficient quantity to suppress thyroid-stimulating hormone (TSH), with the result that the presumably normal extranodular thyroid tissue shows no uptake on scintigraphic scanning2. Thus, a hot nodule shows uptake only in the region of the nodule.

A more cost-effective method of screening would be to use . . . [Full Text of this Article]

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