Have a personal or library account? Click to login
Occurrence of clinically relevant thyroid nodules in adults Cover

Occurrence of clinically relevant thyroid nodules in adults

Open Access
|Jan 2026

References

  1. Durante C, Hegedüs L, Czarniecka A, Paschke R, Russ G, Schmitt F, et al. 2023 European Thyroid Association clinical practice guidelines for thyroid nodule management. Eur Thyroid J 2023; 12:e230067. doi: 10.1530/ETJ-23-0067
  2. Durante C, Costante G, Lucisano G, Bruno R, Meringolo D, Paciaroni A, et al. The natural history of benign thyroid nodules. JAMA 2015; 313:926-35. doi: 10.1001/jama.2015.0956
  3. Bajuk Studen K, Gaberscek S, Pirnat E, Zaletel K. Five-year follow-up and clinical outcome in euthyroid patients with thyroid nodules. Radiol Oncol 2021; 55:317-22. doi: 10.2478/raon-2021-0025
  4. Russ G, Leboulleux S, Leenhardt L, Hegedüs L. Thyroid incidentalomas:epidemiology, risk stratification with ultrasound and workup. Eur Thyroid J 2014; 3: 154-63. doi: 10.1159/000365289
  5. Brander A, Viikinkoski P, Nickels J, Kivisaari L. Thyroid gland: US screening in a random adult population. Radiology 1991; 181: 683-7. doi: 10.1148/radiology.181.3.1947082
  6. Guth S, Theune U, Aberle J, Galach A, Bamberger CM. Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound examination. Eur J Clin Invest 2009; 39: 699-706. doi: 10.1111/j.1365-2362.2009.02162.x
  7. Kwong N, Medici M, Angell TE, Liu X, Marqusee E, Cibas ES, et al. The Influence of patient age on thyroid nodule formation, multinodularity, and thyroid cancer risk. J Clin Endocrinol Metab 2015; 100: 4434-40. doi: 10.1210/jc.2015-3100
  8. Moon JH, Hyun MK, Lee JY, Shim JI, Kim TH, Choi HS, et al. Prevalence of thyroid nodules and their associated clinical parameters: a large-scale, multicenter-based health checkup study. Korean J Intern Med 2018; 33: 753-62. doi: 10.3904/kjim.2015.273
  9. Li Y, Jin C, Li J, Tong M, Wang M, Huang J, et al. Prevalence of thyroid nodules in China: a health examination cohort-based study. Front Endocrinol (Lausanne) 2021; 12: 676144. doi: 10.3389/fendo.2021.676144
  10. Agrawal A, Shukla P, Taya S. Overview of thyroid gland characteristics in pregnancy using ultrasonography as an assessment tool. Int J Reprod Contracept Obstet Gynecol 2023; 12: 300-305. doi: 10.18203/2320-1770. ijrcog20223518
  11. Kung AW, Chau MT, Lao TT, Tam SC, Low LC. The effect of pregnancy on thyroid nodule formation. J Clin Endocrinol Metab 2002; 87: 1010-14. doi: 10.1210/jcem.87.3.8285
  12. Meng F, Liu P, Du Y, Yao J, Fan L, Lv C, et al. Association between iodine status and prevalence of hypothyroidism, autoimmune thyroiditis, and thyroid nodule: a cross-sectional study in Shandong province, China. Biol Trace Elem Res 2024; 203: 98-104. doi: 10.1007/s12011-024-04179-4
  13. Yan Y, You L, Wang X, Zhang Z, Li F, Wu H, et al. Iodine nutritional status, the prevalence of thyroid goiter and nodules in rural and urban residents: a cross-sectional study from Guangzhou, China. Endocr Connect 2021; 10: 1550-9. doi: 10.1530/EC-21-0418
  14. Tang Møllehave L, Knudsen N, Linneberg A, Bülow Pedersen I, Ravn-Haren G, Madsen AL, et al. The Danish investigation on iodine intake and thyroid disease (DanThyr): history and implications. Eur Thyroid J 2024; 20: 13 e230230. doi: 10.1530/ETJ-23-0230
  15. Zaletel K, Gaberšček S, Pirnat E, Krhin B, Hojker S. Ten-year follow-up of thyroid epidemiology in Slovenia after increase in salt iodization. Croat Med J 2011; 52: 615-21. doi: 10.3325/cmj.2011.52.615
  16. Fister P, Gaberšček S, Zaletel K, Krhin B, Gersak K, Hojker S. Thyroid volume changes during pregnancy and after delivery in an iodine-sufficient Republic of Slovenia. Eur J Obstet Gynecol Reprod Biol 2009; 145: 45-8. doi: 10.1016/j. ejogrb.2009.03.022
  17. Gregoric M, Hristov H, Blaznik U, Koroušić-Seljak B, Delfar N, Pravst I. Dietary intakes of Slovenian adults and elderly: design and results of the national dietary study SI.Menu 2017/18. Nutrients 2022; 14: 3618. doi: 10.3390/nu14173618
  18. Ittermann T, Albrecht D, Arohonka P, Bilek R, de Castro JJ, Dahl L, et al. Standardized map of iodine status in Europe. Thyroid 2020; 30: 1346-54. doi: 10.1089/thy.2019.0353
  19. Russ G, Bonnema SJ, Erdogan MF, Durante C, Ngu R, Leenhardt L. European Thyroid Association guidelines for ultrasound malignancy risk stratification of thyroid nodules in adults: the EU-TIRADS. Eur Thyroid J 2017; 6: 225-37. doi: 10.1159/000478927
  20. Oblak A, Bicek A, Pirnat E, Zaletel K, Gaberšček S. First estimation of reference intervals for thyroid-stimulating hormone and thyroid hormones in Slovenian population. Acta Chim Slo 2021; 68: 488-93. doi: 10.17344/asci.2020.5922
  21. Reiners C, Wegscheider K, Schicha H, Theissen P, Vaupel R, Wrbitzky R, et al. Prevalence of thyroid disorders in the working population of Germany:ultrasonography screening in 96,278 unselected employees. Thyroid 2004; 14: 926-32. doi: 10.1089/thy.2004.14.926
  22. Monteiro MC, Assayag G, Botler R, Bergamin A, Conceição FL, Silva de Morais N, et al. Thyroid volume in pregnancy is associated with parity, gestational age, and body mass index in an iodine-sufficient area. Rev Bras Ginecol Obstet 2023; 45: e557-61. doi: 10.1055/s-0043-1776028
  23. Wang K, Yang Y, Wu Y, Chen J, Zhang D, Liu C. The association of menstrual and reproductive factors with thyroid nodules in Chinese women older than 40 years of age. Endocrine 2015; 48: 603-14. doi: 10.1007/s12020-014-0342-7
  24. Zou B, Sun L, Wang X, Chen Z. The prevalence of single and multiple thyroid nodules and its association with metabolic diseases in Chinese:a cross-sectional study. Int J Endocrinol 2020; 2020: 5381012. doi: 10.1155/2020/5381012
  25. Santini F, Marzullo P, Rotondi M, Ceccarini G, Pagano L, Ippolito S, et al. Mechanisms in endocrinology: the crosstalk between thyroid gland and adipose tissue: signal integration in health and disease. Eur J Endocrinol 2014; 171: R137-52. doi: 10.1530/EJE-14-0067
  26. Li S, Guo W, Meng Q, Zhu M, Wei H, Ji F, et al. The association between thyroid-stimulating hormone and thyroid nodules, goiter and thyroid antibody positivity. Front Endocrinol (Lausanne) 2023; 14: 1204552. doi: 10.3389/fendo.2023.1204552
  27. Gaberšček S, Bajuk V, Zaletel K, Pirnat E, Hojker S. Beneficial effects of adequate iodine supply on characteristics of thyroid autonomy. Clin Endocrinol (Oxf) 2013; 79: 867-73. doi: 10.1111/cen.12215
  28. Vargas-Uricoechea H, Nogueira JP, Pinzón-Fernández MV, Schwarzstein D. The usefulness of thyroid antibodies in the diagnostic approach to autoimmune thyroid disease. Antibodies (Basel) 2023; 2: 48. doi: 10.3390/antib12030048
DOI: https://doi.org/10.2478/raon-2026-0001 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Submitted on: Jul 2, 2025
|
Accepted on: Aug 14, 2025
|
Published on: Jan 13, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Katja Zaletel, Katja Tuta, Tina Usaj, Katica Bajuk Studen, Natasa Bedernjak Bajuk, Miha Jesenko, Tanja Radevska, Edvard Pirnat, Matej Gregoric, Urska Blaznik, Masa Hribar, Igor Pravst, Simona Gaberscek, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.

AHEAD OF PRINT