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Thyroid Nodule Molecular Testing: Is It Ready for Prime Time?
Journal article   Open access   Peer reviewed

Thyroid Nodule Molecular Testing: Is It Ready for Prime Time?

Tahsin M. Khan and Martha A. Zeiger
Frontiers in endocrinology (Lausanne), Vol.11, p.590128
10/09/2020
DOI: 10.3389/fendo.2020.590128
PMCID: PMC7581778
PMID: 33162941
url
https://doi.org/10.3389/fendo.2020.590128View
Published (Version of record) Open Access

Abstract

Cytologically indeterminate thyroid nodules remain a diagnostic and clinical challenge, and molecular testing has been advocated and advanced as a diagnostic modality to help guide treatment. While studies have expounded on the improved diagnostic certainty with these tests, data demonstrating meaningful clinical impact and supporting their routine use is still limited at best. In this review, we discuss the limitations regarding diagnostic accuracy, impact on surgical decision-making and outcomes, and cost-effectiveness of molecular testing. By highlighting the limitations of these tests, we aim to promote more thoughtful utilization of these tools in the management of thyroid nodules going forward.
Endocrinology

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