Thyroid Tumors Flashcards
only noduels __ should be evaluated
> 1 cm
appropriate lab and imaging
serum thyrotropin measurement
- if subnormal -> radionuclide thyroid scan
- if normal or elevated -> NO RADIONUCLIDE
pertinent hx
- hx of childhood h&n radiation
- total body radiation
- exposure to ionizing radiation
- familial thyroid ca or thyroid ca syndrome in first degree relative
- rapid noduel growth
- hoarseness
t/f routune measurement of tg for initial evaluation is recommended
false, not recommended, not sensitive and not specific
t/f thyroid sonography with survey of the cervical ln should be performed in all pts with known or suspected thyroid nodules
true
procedure of choice in evaluation of thyroid nodules
fna
thyroid nodule fna cytology should be reported in the ___
bethesda system for reporting thyroid cytopathology
what to do with nondiagnostic cytology
- repeat fna
- repeatedly nondiagnostic = observe or excise
- excise if sus, growth >20% in 2 dimensions, or risk factors
t/f if the nodule is benign, further diagnostics is not required
true
if cytology is diagnostic for thyroid malignancy, ___ is recommended
surgery
surveillance mgt can be considered in ___
- very low risk tumors
- high surgical risk
- short remaining life span
- concurrent medical or surgical issues
t/f pt with multiple thyroid nodules >/= 1 cm should be evaluated in the same fashion as solitary nodule >/= 1 cm
true
t/f multiple nodules of >/= 1, fna should be performed based on preference
false, based on sonographic pattern and respective size cut off
t/f patients with multiple thyroid nodules have higher risk than solitary nodules
false, same risk
t/f routine tsh suppression for benign thyroid nodules in iodine sufficient populations is recommended
false, not recommended
