no more a loser
Forum Guru
Topics: 140
Posts: 580
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a 30 yr female with a palpable solitary throid nodule. Throid function tests r normal. whats the next step?
A) Ultrasound?
B) FNA?
C) 131 I scan?
D) surgery?
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| usmletaker
Forum Senior
Topics: 33
Posts: 66
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fnac
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y
y not ultasound to differentiate between solid or cystic mass?
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| no more a loser
Forum Guru
Topics: 140
Posts: 580
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answer FNA
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| sed8ing
Forum Newbie
Topics: 0
Posts: 8
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Surgeon says: "When in doubt get it out (or at least poke it with something sharp)"
FNA
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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Yes...poke it is more like it......why?
because basically No one likes to play around with thyroid lesions......
so both an Iodine scan and a sono can never tell u surely if this is malignant or benign......and in 100% of cases they wld go for exison if they turn out to be +ve and FNA if -ve...so why wait...go for the best test
Now the question....what if FNA cytology was indeterminate.......what is ur next step?
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| smitha
Forum Elite
Topics: 53
Posts: 236
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I131 scan, to check if it's a hot or cold nodule???????? :roll:
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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Good Try ...... don't take the risk.....
Just go for surgery ......
Only when it turns out to be -ve is are the other tests to a certain extent useful....
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