When is surgery indicated for treatment of a thyroid nodule?

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

Answer

Using the Bethesda system, the follicular neoplasm, suspicious for malignancy, and malignant classifications each warrant surgical consultation. Patients with follicular cytopathology on FNAB should be referred to a surgeon because 20-30% of such nodules are malignant. Exceptions may be made in the case of malignant lymphoma, which is typically not managed surgically, and in cases of anaplastic carcinoma, in which surgical intervention may be futile.


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