John Libbey Eurotext

Médecine

Thyroid nodules: making what is required but not more… Volume 13, issue 1, Janvier 2017

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Author
CHU de Strasbourg, hôpital Hautepierre, service de médecine interne, endocrinologie, nutrition, 1, avenue Molière, 67098 Strasbourg, France
* Tirés à part
  • Key words: thyroid nodule, diagnosis, ultrasonography
  • DOI : 10.1684/med.2017.158
  • Page(s) : 17-23
  • Published in: 2017

Several studies have shown a significant increase in the incidence of thyroid cancers in developed countries, but the level of overdiagnosis of thyroid nodules is becoming a major public health problem, because it involves overtreatment, including partial or total ablation of the thyroid with opotherapy and potential complications of surgery (transient or definitive hypocalcemia, recurrent nerve damage, etc.), with a significant financial cost. In 90-95 % of the cases, the thyroid nodules are benign but their natural evolution is hard to predict. Cervical ultrasound is the reference examination of the thyroid nodule and has a key role in further therapy, but it is highly operator-dependent. The question is whether there is a benefit of screening at an early stage of a cancer that would probably never have been expressed at the end of the patient's life, but for whom several disadvantages and risks will be induced via the surgical treatment