问:一例13岁女孩3～4个月来有—甲状腺结节。患者无症状,体检无异常。三碘甲状腺氨酸摄入及甲状腺素水平正常,甲状腺刺激素稍高,放射核素扫描示过度治跃的结节。对此例应如何治疗及随访?答。青春期孤立性甲状腺结节必须立即而全面检查,因为儿童较成人这种结节为癌症的可能性更大。当放射核素甲状腺扫描显示为低功能(冷性)或表面有功能(温性)结节时,应进一步作细针抽吸或切除治 Q: A 13-year-old girl has thyroid nodules for 3 to 4 months. Asymptomatic patients, physical examination without exception. Triiodothyronine intake and normal levels of thyroxine, thyroid stimulating hormone slightly higher, radionuclide scan showed over-leaking nodules. How to treat this case and follow-up? Adolescent solitary thyroid nodules must be examined immediately and completely, as children are more likely to develop nodules than adults. When the radionuclide thyroid scan shows low (cold) or surface functional (warm) nodules, further fine needle aspiration or excision should be performed