Study note
Surgery
The thyroid gland
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
•
Microcalcification and increased vascularity
are associated with thyroid neoplasia.
•
Only macroscopic capsular breach and nodal involvement
are described as diagnostic of malignancy.
Role in investigation
•
Use ultrasonography as the primary investigation of any thyroid nodule.
•
A reassuring ultrasonographic appearance mitigates the need for fine-needle aspiration cytology.
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