A 45 year old male presents with 4 X 4 cm, mobile right solitary thyroid nodule of 5 months duration. The patient is euthyroid. The following statements about his management are true except
Malignancy is present in 15% to 20% of cold nodules and in less than 5% of hot nodules. Although suggestive, malignancy of a nodule can be neither confirmed nor excluded based on radionuclide uptake. Note :Option "Patient should undergo hemithyroidectomy if FNAC repo is inconclusive " is controversial. Close surveillance with ultrasound, genetic and molecular testing or other alternatives to diagnostic thyroidectomy. Even after diagnostic thyroidectomy, patient still requires survelliance for other lobe or may require total thyroidectomy if biopsy proves malignancy.
Cold nodule on thyroid scan is diagnostic of malignancy
FNAC is required in fuher management of patient
The patient should undergo hemithyroidectomy if FNAC repo is inconclusive
Indirect laryngoscopy should be done in the preoperative period to assess mobility of vocal cords
Endocrinology and breast