How are solitary thyroid nodules diagnosed?

Updated: Jan 09, 2018
  • Author: Steven K Dankle, MD; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

In addition to the clarification of terminology in cytopathologic reporting, the Bethesda conference also established a consensus for the indications to perform FNAB of thyroid nodules, as well as post-FNAB management options. The current state of the art in thyroid FNAB is nicely outlined in a review by Layfield et al. [21]

The most important routine aspects of the diagnostic evaluation of solitary thyroid nodules include thorough history-taking and physical examination, measurement of the serum TSH level, ultrasound-imaging, and FNAB of the nodule. Subsequent management of a solitary thyroid nodule largely depends on the diagnosis from FNAB.


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