Session: S27-Nodular Thyroid Disease: Understanding and Assessing Risk
Supported by Genzyme, a Sanofi company
Room 103 (Moscone Center)
Radiation-related thyroid nodules continue to occur. Radiation was part of the treatment of many of the increasing number of survivors of childhood cancer . The escalating use of diagnostic radiological procedures may become a source of radiation-related nodules. The evaluation and treatment of these nodules need to take into account the heightened risk that they are malignant. Compared to other patients, a more thorough approach is recommended. Specifically, FNA should be considered for smaller nodules and for more nodules in a multinodular goiter. Although the evidence is mixed, radiation-related thyroid cancers are probably no more aggressive than other thyroid cancers. Physicians, particularly endocrinologist, who care for patients with thyroid nodules should participate in efforts to reduce radiation exposure of the thyroid. The Alliance for Radiation Safety in Pediatric Imaging's "Image Gently" campaign is an excellent place to find practical advice about how to achieve this goal.
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