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Korean J Fam Med > Volume 31(2); 2010 > Article
Korean Journal of Family Medicine 2010;31(2):87-93.
DOI: https://doi.org/10.4082/kjfm.2010.31.2.87    Published online February 20, 2010.
Screening of Thyroid Cancer and Management of Thyroid Incidentaloma.
Jung Jin Cho
Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. threej@hallym.or.kr
갑상샘암의 선별과 무증상 갑상샘종의 관리
조정진
한림대학교 성심병원 가정의학과
Abstract
Increasing thyroid cancer incidence is due to the increased detection of small papillary cancers and may not interpreted as an increase in the true occurrence of disease. Further workup of thyroid incidentalomas—impalpable nodules detected fortuitously during a radiological investigation—may contribution of the increasing thyroid cancer. Screening asymptomatic adults or children for thyroid cancer using either neck palpation or ultrasonography is not recommended in the US Preventive Services Task Force and the Korean lifetime health maintenance program. Generally, only thyroid incidentalomas > 1 cm should be evaluated, since they have a greater potential to be clinically significant cancers and thyroid nodules < 1 cm that require evaluation because of suspicious US findings, associated lymphadenopathy, a history of head and neck irradiation, or a history of thyroid cancer in one or more first-degree relatives
Key Words: Thyroid Neoplasms; Screening; Thyroid Incidentaloma


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