Thyroid nodules are very common feedback: can be completely harmless or be a thyroid tumor.
If there is a neck palpation thyroid enlargement or perceive a targeted ultrasound should be formation with a study and a thyroid function through blood tests.
L ’ ultrasound makes it easy to distinguish a solid nodule from a Cystic nodule (harmless content).
In the case of a solid nodule you will need to consider its size, the morphology, the vascularization and the presence of other nodules in the thyroid or pathological cervical lymph nodes. These parameters will help the clinician to conclude whether a utility ’ cell collection from nodule by ultrasound-guided needle aspiration (FNAC): with a thin needle will some cells will aspire to be analyzed.
The report of ’ needle aspiration will describe the probability of being in front of a malignant tumour.
Thy 1: not diagnostic; It is appropriate to repeat the exam ’
Thy 2: non-neoplastic; is a reassuring feedback, often sleep need periodic checks, may still be necessary thyroid lobe excision ’ containing the newly-formed if it has an important volume, result in a dislocation of the trachea, symptoms or there is still a strong clinical suspicion of malignant tumour.
Thy 3: Follicular formation; the cytology does not distinguish between a benign lesion (Follicular adenoma) by a malign (Follicular Carcinoma) It is therefore appropriate to discuss with the patient if making a hemithyroidectomy ’ or a total thyroidectomy.
Thy 4: suspicion for malignant tumour; We recommend that you remove the thyroid
Thy 5: diagnostic for malignant tumour; We recommend that you remove the thyroid
The majority of malignant growths of the thyroid gland are characterized by slow growth and sluggish with a pretty good prognosis. In the case of a match needle aspiration examination should apply to all pathological ’ ENT specialists or general surgeons specialized in thyroid surgery.
