Letters Thyroid cancer

Thyroid nodules: time to stop over-reporting normal findings and update consensus guidelines

BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f5742 (Published 25 September 2013) Cite this as: BMJ 2013;347:f5742
  1. Michael S Hofman, nuclear medicine physician1
  1. 1Peter MacCallum Cancer Centre, Melbourne, VIC 3002, Australia
  1. michael.hofman{at}petermac.org

Brito and colleagues correctly highlight the increased detection of incidental papillary thyroid cancers through computed tomography and ultrasonography, but their suggestion of a randomised trial of immediate treatment versus surveillance is not sensible.1 Such a trial would need large numbers of patients and decades of follow-up, with high cost; it …

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