Thyroid nodule Flashcards
1
Q
Thyroid nodule investigation
A
- Thyroid US and TSH
2
Q
Nodule and low TSH
A
RAIU
hot nodule: referral to endocrine for ablation vs. surgery
cold nodule: approach as if TSH wnl or HIGH (r/o cancer)
3
Q
nodule and NORMAL or HIGH TSH
A
assess sonographic suspicion for malignancy
4
Q
nodule, nl or increased TSH
US: “benign” simple cyst
A
-no FNA, reassurance
5
Q
nodul, nl or increased TSH
US: spongiform or partially cystic without eccentric solid area
A
FNA if >= 2cm
very low risk
6
Q
nodule, nl or increased TSH
US: iso/hyperechoic, no suspcious features
A
FNA if >= 1.5cm
7
Q
nodule nl or increased TSH
US: hypoechoic or “high risk” features
A
FNA if >= 1cm
