Thyroid nodules

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Thyroid nodules

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6 Posts

sheena2005
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Topics: 26
Posts: 257

11/05/06 - 04:29 PM

can somebody please explain the managment after finding a solitary thyroid nodule on physical examination?

Guptashutosh
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Topics: 35
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11/06/06 - 10:48 AM

TFT , i think , or may be a thyroid scan to find out the nature of soli nodule , i.e , hot or cold nodule

sunny2
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Topics: 51
Posts: 385

11/06/06 - 11:33 AM

sheena2005,
Thyroid Nodule - 1st step - TSH, 2nd step USG -to see cystic or solid
if Cystic - do FNA
if Solid - less then 3 cm - FNA - if +ve - Thyroid harmone replacement
more then 3 cm - Needle Biopsy - if +ve - Surgery, if -ve - Thyroid Harmone

Thyroid Nodule - pathology - indeterminate, values normal - Do RAIU to see if it is
Hot - if no hyperthyroid sign -- just leave it
Cold - Malignant - Surgery

I think this is pretty much I have in mind at this moment !
Give you definite 1 point in the exam with this flowcharting wink

sheena2005
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11/06/06 - 12:04 PM

WOW sunny 2 kool flow chart.Thanx.

but i got a question here

"if Solid - less then 3 cm - FNA - if +ve - Thyroid harmone replacement
more then 3 cm - Needle Biopsy - if +ve - Surgery, if -ve - Thyroid Harmon''

i didn get this step. can u please explain it.why thyroid hormone replace ment?

sunny2
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Topics: 51
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11/06/06 - 12:20 PM

Thyroid hormones will shut off the pituitary gland release of TSH, decrease TSH stimulation of the thyroid gland, and decrease the size of the nodule.

sheena2005
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Topics: 26
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11/06/06 - 10:59 PM

oh ok. got it.thanks

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