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Endocrine Abstracts (2014) 35 P1074 | DOI: 10.1530/endoabs.35.P1074

1Endocrinology Department, Virgen de la Victoria University Hospital, Malaga, Spain; 2Primary Care Center El Palo, Malaga, Spain.


Background and objectives: The finding of a thyroid nodule is a very common occurrence in clinical practice. Management of thyroid nodules requires a multidisciplinary approach that may be eased by a high-resolution thyroid nodule clinic. We report our clinical experience and outcomes in a high-resolution thyroid nodule clinic.

Materials and methods: We conducted a retrospective analysis of 1674 thyroid nodules evaluated in a high-resolution clinic from an academic hospital between 2005 and 2011. ATA and ETA guidelines were used for thyroid nodules assessment.

Results: Of these 1674 nodules, 64.2% were solid, 45.7% hypoechogenic, and 6.3% showed microcalcifications. Mean nodule diameter was 1.96 cm. Fine-needle aspiration (FNA) was performed in 1303 nodules, and 61 (3.6%) were cancerous. Mean nodule diameter was similar between benign and malignant nodules (2.46 vs 2.58 cm, P=0.13). Increasing nodule size did not impact cancer risk.

Conclusions: In this cohort of 1674 thyroid nodules, most nodules were solid and hypoechogenic. Thyroid cancer prevalence was 3.6% and cancer rate was not associated with thyroid nodule size.

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