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Old 11-08-2014
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India Thyroid nodule question!!!!

If a patient with solitary thyroid nodule is asymptomatic, what is the next best step?
a) TSH and fT4
b) FNAC

MTB says Thyroid function tests, while kaplan says go straight to FNAC.
Which one is correct????

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  #2  
Old 11-10-2014
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Quote:
Originally Posted by neelmed View Post
If a patient with solitary thyroid nodule is asymptomatic, what is the next best step?
a) TSH and fT4
b) FNAC

MTB says Thyroid function tests, while kaplan says go straight to FNAC.
Which one is correct????

Hey
the NBS is to do a TSH and a free T4 coz its important to know if the thyroid nodule is hyperfunctioning or no. Hyperfunctioning- Never a CA(in terms of USMLE).

But remember that Follicular CA traps iodine and spreads via the blood, it does make small amounts of hormone but its not significant to change the TFTs. this is the reason why we give Post surgery Radioactive iodine to destroy even minute amounts of thyroid cells.

Hope it helps
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neelmed (11-10-2014)
  #3  
Old 11-10-2014
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Quote:
Originally Posted by o157h7 View Post
Hey
the NBS is to do a TSH and a free T4 coz its important to know if the thyroid nodule is hyperfunctioning or no. Hyperfunctioning- Never a CA(in terms of USMLE).

But remember that Follicular CA traps iodine and spreads via the blood, it does make small amounts of hormone but its not significant to change the TFTs. this is the reason why we give Post surgery Radioactive iodine to destroy even minute amounts of thyroid cells.

Hope it helps
Thank u
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