A thyroid nodule is defined as a distinct lesion within the thyroid gland, ultrasonographically distinct from the surrounding thyroid tissue. The continued development and increased use of other radiologic imaging modalities, particularly neck ultrasound, has revealed that thyroid nodules are much more prevalent in humans than previously recognized.

The general population of adults in nearly 60% in the thyroid gland is located. The probability of being malignant nodules-priority concern. However, thyroid nodules 1 5% of nodules that occur are due to cancer. The majority of benign nodules, the nodules are harmless and do not require treatment. If you have thyroid cancer, thyroid cancer thyroid cancer is a slowly progressing and the remainder in even the most. Up to 53.6 thyroid thyroid cancer remains limited, and does not spread to other organs.

The risk in thyroid nodules could not be determined well in cases where the rate of unnecessary surgical procedures can be performed. This can cause both morbidity and increase the cost of health care. Along with the emergence of the risk of thyroid cancer, unnecessary surgery can be avoided, as have contributed to the development of minimally invasive techniques.

A good way of being benign or malignant if it is defined in the nodules, thyroid cancer, a significant reduction in the mortality rate will be, and will be prevented unnecessary surgery.

The patient's requests, taking into account more cost-effective for the management of this disease, which is common in the community, there is a need for an approach with less risk. No complaints, of non-adults of ultrasound (us) screening is not recommended. Therefore, current guidelines on the agenda for people with thyroid cancer is made for people with thyroid nodules.

Thyroid assessment to be done first medical history, family history and a physical examination should be the evaluation of thyroid hormones.

  • USG neck cervical lymph nodes should be made to include necessarily review.
  • Thyroid USG report the number of nodules, size, placement, and TIRADS classification should include.
  • If you have multiple lung nodules in them must be mentioned the questionable ones.

 

TIRADS Classification

TIRADS is a ranking is made according to the findings of USG are given a score between 1-5. TIRADS after that, what kind of process is a good guide in making related to the nodule.

TIRADS is the next step to evaluate the fine needle aspiration biopsy of suspicious nodules and in terms of pathological evaluation.

Fine needle aspiration

Fine-needle aspiration of thyroid benign or malignant in terms of being quite valuable diagnostic method. However, there are circumstances that restrict the diagnostic value of this process.

For example, the patient may require a second operation failure. Therefore the aspiration to be made in the presence and cellular assessment of the adequacy of pathologists (bedside assessment-on-site-on-site rapid) it is necessarily required.

 

Pathology evaluation of fine-needle aspiration are used in the Bethesda system in reporting.
Fine needle aspiration (Fna) of thyroid nodules in terms of the diagnosis inexpensive-simple - value is high because the gold standard diagnostic method.

 

 

The material is also obtained from aspiration (cell block) after that, to be done in terms of molecular tests is quite valuable.

Rating 1-6 in the Bethesda system is made.

 

Thyroid cancer as a result of this evaluation, junk-or requiring follow-up is a condition that requires surgery.

The algorithm described above, the early recognition of patients with possible malignant nodules thyroid nodules, benign nodules be done to prevent unnecessary surgery and surgery are limited to in terms of ensuring that is very valuable.

With a family history of thyroid disease, thyroid, or thyroid problems in terms of subsequent patients to consult a healthcare provider who doubt this algorithm is not necessarily required.