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Thyroid Nodules and Other Incidentalomas: We Must Search for Evidence and Clarify Our Ethical Priorities

↵ Hegedus L. Clinical practice: the thyroid nodule. N Engl J Med 2004 ; 351 : 1764 –71 CrossRef Medline ↵ Ain KB. Papillary thyroid carcinoma: etiology, assessment, and therapy. Endocrinol Metab Clin North Am 1995 ; 24 : 711 –60 Medline ↵ Mancuso AA. Oh #*$%#! Another pesky incidental thyroid nodule! AJNR Am J Neuroradiol 2005 ; 26 : 2444 –45 FREE Full Text A.A. Mancuso c c Department of Radiology University of Florida College of Medicine Gainesville, Fla Reply : Dr. Raymond raises several reasonable medical, ethical, and socioeconomic issues that should be debated in public. Notwithstanding the outcome of such debate, it remains my firm and personal opinion, which cannot be altered by such debate, that it is the absolute obligation of an interpreting physician to report any finding on a study that may significantly affect the patient’s life, because diagnostic radiologists have no legal, moral, or ethical mandate to perform what could be reasonably be viewed as a unilateral informed consent process by withholding such observations. What is actually done after discovery of these nodules is something that would benefit from continued evidence-based analysis and resulting guidelines such as that contained in a recent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

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