Study note

Ultrasonography of thyroid nodules

THE CONTEXT
Ultrasonography assesses the physical characteristics of thyroid swellings and is the primary investigation for any thyroid nodule.

Features associated with neoplasia

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Microcalcification and increased vascularity are associated with thyroid neoplasia.
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Only macroscopic capsular breach and nodal involvement are described as diagnostic of malignancy.

Role in investigation

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Use ultrasonography as the primary investigation of any thyroid nodule.
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A reassuring ultrasonographic appearance mitigates the need for fine-needle aspiration cytology.
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