Clinical versus ultrasound examination of the thyroid gland in common clinical practice
作者:
A. Brander,
P. Viikinkoski,
J. Tuuhea,
L. Voutilainen,
L. Kivisaari,
期刊:
Journal of Clinical Ultrasound
(WILEY Available online 1992)
卷期:
Volume 20,
issue 1
页码: 37-42
ISSN:0091-2751
年代: 1992
DOI:10.1002/jcu.1870200107
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: Thyroid, US studies;Thyroid, neoplasms
数据来源: WILEY
摘要:
AbstractIn a prospective series of 72 patients, clinical and ultrasonographic examination of the thyroid gland were compared in detail. Normal‐sized lobes were differentiated from enlarged ones both by inspection and by palpation. When lobar size was assessed by palpation, the estimate was most clearly influenced by increase in width. The correlation between two examiners in lobe size assessment was significant. In the classification of thyroid disease as diffuse, solitary, or multinodular, clinical examination and ultrasonography correlated significantly. However, only one third of the clinically solitary nodules proved to be solitary by ultrasound examination. Of 77 separate nodules, 43 escaped detection on clinical examination. Of these 43, 14 nodules exceeded 2 cm in diameter. It is concluded that the use of ultrasonography frequently alters the primary evaluation of thyroid nodularity based on palpatio
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