A 42-year-old woman is evaluated for an asymmetric enlargement of her thyroid. She is otherwise asymptomatic, and she has no risk factor for thyroid cancer. On examination, a possible thyroid nodule is palpated on the left side. A CBC, routine serum chemistry tests, and TSH are normal, US reveals a 2.2 cm left sided solid nodule. What is the appropriate next step in the evaluation of this patient?
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. fine needle aspiration of the thyroid nodule
✓ مطابق للمصدر
thyroid and parathyroid- Afnan.pdf · p. 23
For a euthyroid patient (normal TSH) with a 2.2 cm solid nodule on ultrasound, the next step is fine-needle aspiration, which gives a cytological diagnosis (Bethesda classification).
- A thyroid scan or RAI uptake is for thyrotoxicosis.
- T4 adds nothing when TSH is normal.
- Thyroglobulin is a marker for follow-up after cancer treatment.
- Thyroidectomy needs a tissue diagnosis first.
- المصدر
- thyroid and parathyroid- Afnan.pdf · p. 23
thyroid and parathyroid- Afnan.pdf · p. 21 - المحاضرة
- Thyroid and Parathyroid · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 204 Q10