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Case-control study
Population-based study provides a step towards evidence-based management of thyroid nodules detected on ultrasound
  1. Jenny K Hoang
  1. Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
  1. Correspondence to : Dr Jenny K Hoang, Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Durham, NC 27710, USA; jennykh{at}gmail.com

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Context

The decision of whether to recommend workup of thyroid nodules is a difficult one. Conflicting guidelines result in highly variable practices.1 ,2 Some argue that thyroid fine-needle aspiration (FNA) carries minimal risk and provides definitive pathology results; however, benign thyroid nodules are common and an increasing number of thyroid biopsies in the USA result in a costly problem for the healthcare system.3 Furthermore, for one-third of patients’ workup does not end with FNA; cytology results can lead to repeat biopsies and even diagnostic lobectomy.4 Finally, there is an alarming rise in …

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