In a patient presenting with swelling of the thyroid, the radionuclide scan showed a cold nodule and the ultrasound showed a non-cystic solid mass. The management of this patient would be:
- Areas that trap less radioactivity than the surrounding gland are termed as COLD - Whereas areas that demonstrate increased activity are called HOT. - Risk of malignancy: Hot - < 5% Cold - 20 % - USG findings within a nodule that are considered suspicious for malignancy include - microcalcification, hypervascularity, infiltrative margins, being hypoechoic, shape taller than wide on transverse view. - Thus, management of the above case - hemithyroidectomy. Management- For Solitary thyroid nodule, using FNAC, it can be either
Lobectomy
Hemithyroidectomy
Propylthiouracil
Radioactive iodine ablation
Thyroid