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甲状腺结节的非手术治疗

陈茉 徐书杭 刘超

中国实用内科杂志2019,Vol.39Issue(4):326-331,6.
中国实用内科杂志2019,Vol.39Issue(4):326-331,6.DOI:10.19538/j.nk2019040104

甲状腺结节的非手术治疗

Nonsurgical treatment for thyroid nodules

陈茉 1徐书杭 1刘超1

作者信息

  • 1. 南京中医药大学附属中西医结合医院 江苏省中医药研究院内分泌科,江苏南京 210028
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摘要

Abstract

Thyroid nodule is a very common disease, and most of the diseases are asymptomatic with benign ultrasound or cytology, which do not require treatment. A regular observation is commonly required, and its frequency should be determined based on the potential risk of malignancy. Only a few benign nodules need intervention due to some certain factors including neck discomfort, cosmetic problem and patients' desire. The nonsurgical treatments include thyroxine suppression therapy, percutaneous ethanol injection, thermal ablation, and radioactive iodine therapy, etc. Currently, active surveillance and thermal ablation are still an experimental treatment in debate for low-risk thyroid cancer. In a patient-centered approach, clinicians should assess the indications, benefits, and risks of various nonsurgical treatments in order to avoid over-treatment.

关键词

甲状腺结节/非手术治疗/热消融/积极监控

Key words

thyroid nodule/nonsurgical treatment/thermal ablation/active surveillance

分类

医药卫生

引用本文复制引用

陈茉,徐书杭,刘超..甲状腺结节的非手术治疗[J].中国实用内科杂志,2019,39(4):326-331,6.

中国实用内科杂志

OACSCDCSTPCD

1005-2194

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