RICHARD J. SAMPSON, M.D.
To the editor: I am concerned that Becker and associates, in last September's Annals of Internal Medicine (83:347-351, 1975), have suggested "total or near-total thyroidectomy" for patients with "cold" thyroid nodules found in a previously irradiated population. This therapy is advised by these authors because of the discovery of thyroid carcinoma away from the clinically demonstrated nodules and because of the multifocality of some of the discovered malignant tumors. Such radical therapy is, however, unwarranted because of the benign natural course of these tumors. There is abundant evidence both from long-term follow-up data and from autopsy data (1, 2) that
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SAMPSON RJ. Therapy for Thyroid Nodules. Ann Intern Med. 1976;84:750–751. doi: 10.7326/0003-4819-84-6-750
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Published: Ann Intern Med. 1976;84(6):750-751.
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