In a patient presenting with swelling of the thyroid, the radionuclide scan showed a cold nodule and the ultrasound showed a non-cystic solid mass. The management of this patient would be:: (A) Lobectomy, (B) Hemithyroidectomy, (C) Propylthiouracil, (D) Radioactive iodine ablation
Answer is B. - Areas that trap less radioactivity than the surrounding gland are termed as COLD - Whereas areas that demonstrate increased activity are called HOT. - Risk of malignancy: Hot - < 5% Cold - 20 % - USG findings within a nodule that are considered suspicious for malignancy include - microcalcification, hypervascularity, infiltrative margins, being hypoechoic, shape taller than wide on transverse view. - Thus, management of the above case - hemithyroidectomy. Management- For Solitary thyroid nodule, using FNAC, it can be either