THYROID NODULE-SOLITARY NODULE INX

SUMMARY

Do US for all nodules. Same for incidentalomas.

1. Suspicious features on US: do FNA.

2. No suspicious features & high TSH (i.e. hypothyroid): do free T4, anti-TPO antibodies, biopsy (high malignancy risk).

3. No suspicious features & low TSH (i.e. hyperthyroid): do scintigraphy. If single & hot: stop!

(Ref: 2010 American Association of Clinical Endocrinologists practice guidelines)

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].