Thyroid nodule, TSH normal or high, what next step - stepup3

[ArchivalUser]

Thyroid nodule, TSH normal or high, what is the next step?
Fischer: FNA
FA: US

[ArchivalUser]

Test of choice “initial evaluation” -> FNA. Often combo US “guidance” for better Dx utility. 1st advantage of to lower the rate of inadequate sampling & also ↓ sample/error -> reduce both nondx & FN rates cytology.

FNA 1st choice. but in case u got combo/FNA + US then that would be a better choice to go with.

IN CLINCIAL practice, you get norm TFT’s back, I’m assuming u understand u do scan if RAIU scan -> “HOT” then -> ASX -> observe and if Sx/+ -> TMG or toxic adenoma. If “COLD” -> FNA -> solid -> then cytology’s (assuming cytolgoy wise steps) & if cystic -> observe it.

FA got it wrong.

[ArchivalUser]

2015 American Thyroid Association Management
Guidelines for Adult Patients with Thyroid Nodules
and Differentiated Thyroid Cancer:

US first, then FNA

https://www.liebertpub.com/doi/pdf/10.10....2015.0020