NODULE THYROIDIEN PARAISTHMIQUE 0.5 CM CHEZ UNE FEMME DE 34 ANS.TSH,T3,T4 SONT NORMAUX.EST CE QU'IL YA UN RISQUE DE MALIGNITE?EST CE QU'IL FAUT FAIRE SUIVI ECHOGRAPHIQUE DE SA MESURE?
In patients without risk factors for thyroid cancer or suspicious ultrasound findings, routine Fine Needle Aspiration ( for pathology) is not recommended for nodules <1 cm. We perform periodic ultrasonography (initially at 6 to 12 months, then at increasing intervals over time assuming stability, eg, at one to two year intervals, then three to five years) to evaluate for growth. If the nodule grows to ≥1 to 2 cm and demonstrates the ultrasound characteristics discussed above, ultrasound-guided FNA should be performed.
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