Currently, there is no way to confidently predict which incidentally detected thyroid nodule may be the precursor to a more aggressive process. Predictions such as these would require more accurate characterization of the biology of individual thyroid cancers than is currently possible. With time, we might prove our ability to confidently differentiate low-risk from high-risk thyroid cancers, but until that happens, routine screening for thyroid cancer by imaging billed as a “health checkup” should not be performed[http://archotol.jamanetwork.com/article.aspx?articleID=2276788]
Dr. Gilbert Welch explains this lucidly in his cancer screening video (@11 min.)
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