doc4mindia
Forum Guru
Topics: 134
Posts: 243
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for solitary thyroid nodule....with abn TFTs is the next step FNA with U/S and if indetermonate repeat the FNA and still unsure do the thyroid scan?
OR
with increased TSH would we do FNA and
with decrease TSH would we do a thyroid scan and if that reveals cold nodule we would do FNA
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| Babby_blue
Forum Newbie
Topics: 0
Posts: 11
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We need to evaluate the case as a package because the history always give you a lot of information. In general, we must evaluate any thyroid nodule with the FNA. Malignant findings should be evaluated with an endocrinologist. Bening findings should be reevaluated periodically(by palpation). Some books recoment thyroxine therapy but the effect of this medication on the size of the nodule is minimal (Washington manual).Imaging studies won't give you any info regarding the malignancy of the nodule[/quote]
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| nidhik15
Forum Newbie
Topics: 1
Posts: 6
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high risk factors for a solitary nodule to be malignant are-- size, fixity, hard, young males,central calcifications.
we do a FNAC in these cases but if associated with increasd TSH/NormalTSH we do give thyroxine and most of them are upressed with that. if the patient is hypethyoid we dont give Thyroxine.
young male with euthyroid status, hard, calcificatiosn after FNAc we remove them.
CMDT says so
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| meg
Forum Guru
Topics: 62
Posts: 806
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if euthyroid and nodule, do FNA
if hyperthyroid and nodule, do thyroid scan first
if hypothyroid and nodule, do antibodies for hashimoto and then fna.
that is my understanding so far.
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