A middle aged female presented with a solitary thyroid nodule of size 2 cm. What is the next line of management?
The most common presentation of a patient with thyroid carcinoma is the presence of a solitary thyroid nodule. Cytologic examination of a fine-needle aspirate of a nodule more than 1cm in diameter is the most appropriate first diagnostic procedure. Papillary, medullary, and anaplastic carcinomas can be readily diagnosed by fine-needle aspiration (FNA). The majority (85-95%) of thyroid nodules are benign. Ref: Busaidy N.L., Habra M.A., Vassilopoulou-Sellin R. (2011). Chapter 38. Endocrine Malignancies. In H.M. Kantarjian, R.A. Wolff, C.A. Koller (Eds), The MD Anderson Manual of Medical Oncology, 2e.
Removal of the nodule
FNAC
Subtotal thyroidectomy
Total thyroidectomy