How Are Childhood Thyroid Nodules Discovered: Opportunities for Improving Early Detection

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• 作者：Anjuli Gupta ; MDp>1p>p> ; p>p>&lowast ; p> ; Samantha Ly ; MAp>1p>p> ; p>p>&lowast ; p> ; Luciana A. Castroneves ; MDp>1p>p> ; p>p>&lowast ; p> ; Mary C. Frates ; MDp>7p> ; Carol B. Benson ; MDp>7p> ; Henry A. Feldman ; MDp>1p> ; Ari J. Wassner ; MDp>1p>p> ; p>p>6p> ; Jessica R. Smith ; MDp>1p>p> ; p>p>6p> ; Ellen Marqusee ; MDp>6p>p> ; p>p>10p> ; Erik K. Alexander ; MDp>6p>p> ; p>p>10p> ; Justine Barletta ; MDp>8p> ; Funmilayo Muyidep>1p> ; Peter M. Doubilet ; MD ; PhDp>7p> ; Hope E. Peters ; MDp>7p> ; Susan Webb ; RNp>1p> ; Biren P. Modi ; MDp>5p> ; Harriet J. Paltiel ; MDp>2p> ; Yolanda Martins ; PhDp>4p>p> ; p>p>10p> ; Kelly Burmeister ; PhDp>4p> ; Harry Kozakewich ; MDp>3p> ; Monica Hollowell ; MDp>3p> ; Edmund S. Cibas ; MDp>8p> ; Francis D. Moore Jr ; MDp>9p> ; Robert C. Shamberger ; MDp>5p> ; P. Reed Larsen ; MDp>6p>p> ; p>p>10p> ; Stephen A. Huang ; MDp>1p>p> ; p>p>6p>p> ; p>p>10p>p> ; p>p>stephen.huang@childrens.harvard.edu" class="auth_mailp>
• 关键词：TSH ; Thyroid stimulating hormone
• 刊名：The Journal of Pediatrics
• 出版年：March, 2014
• 年：2014
• 卷：164
• 期：3
• 页码：658-660
• 全文大小：143 K

文摘

In a retrospective analysis of childhood thyroid nodules, 18% were radiographic incidentalomas and 41% were discovered by a clinician's palpation; 40% were discovered by patients' families. The latter group had the largest nodules and highest rates of thyroid cancer metastasis, suggesting opportunities for earlier detection through annual well-child visits.