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Letters |1 August 1995

Thyroxine or Iodine Therapy for Thyroid Nodules

Joseph Di Poala Sr.

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TO THE EDITOR:
I read with interest the article by La Rosa and colleagues [1], which described the treatment of benign solitary solid cold nodules of the thyroid. I question the authors' rationale for treatment. Presuming that these nodules are completely asymptomatic and truly benign, this management strategy is preventive rather than therapeutic. According to the U.S. Preventive Task Force recommendations, performance of a preventive service is based on the quality of evidence that this service results in more good than harm [2].
After the thyroid nodule is determined to be benign by fine-needle aspiration—which has been proved to be safe, accurate, and cost-effective [3]—three possibilities exist for the future course of this nodule:
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Di Poala Sr. J. Thyroxine or Iodine Therapy for Thyroid Nodules. Ann Intern Med. ;123:235–236. doi: 10.7326/0003-4819-123-3-199508010-00016

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Published: Ann Intern Med. 1995;123(3):235-236.

DOI: 10.7326/0003-4819-123-3-199508010-00016

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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