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Fine-needle aspiration (FNA) is a diagnostic procedure used to investigate lumps or masses. In this technique, a thin (23–25 gauge (0.52 to 0.64 mm outer diameter)), hollow needle is inserted into the mass for sampling of cells that, after being stained , are examined under a microscope ( biopsy ).
Blood testing of thyroid function. Ultrasound: Image capture of the degree of mass and its surrounding tissues. Thyroid Scan: Radioactive iodine or technetium (a radioactive metallic element) is used in this procedure to show any abnormalities of the thyroid. Fine Needle Aspiration: The removal of cells for biopsy, using a needle
TSH – A thyroid-stimulating hormone level should be obtained first. If it is suppressed, then the nodule is likely a hyperfunctioning (or "hot") nodule. These are rarely malignant. FNAC – fine needle aspiration cytology is the investigation of choice given a non-suppressed TSH. [27] [28] Imaging – Ultrasound and radioiodine scanning.
Thyroid neoplasm is a ... squamous metaplasia in PTC after fine needle aspiration biopsy (FNAB) (a), squamous cell carcinoma in the thyroid of putative secondary ...
Colloid nodules may be initially identified as an unspecified kind of thyroid nodule. Follow-up examinations typically include an ultrasound if it is unclear whether or not there really is a nodule present. Once the presence of a nodule has been confirmed, the determination of the kind of thyroid nodule is done by fine needle aspiration biopsy. [7]
The accuracy of the diagnosis depends on obtaining tissue from all of the suspicious areas of an abnormal thyroid gland. The reliability of fine needle aspiration is increased when sampling can be guided by ultrasound, and over the last 15 years, this has become the preferred method for thyroid biopsy in North America. [32] [citation needed]
In order to qualify for an RFA procedure, a person must have a clearly benign thyroid nodule, usually proven by two fine needle aspiration biopsies. [medical citation needed] As of 2020, RFA is not recommended for the treatment of malignant thyroid nodules, although research into this topic is ongoing. [51]
Regular monitoring mainly consists of watching for changes in nodule size and symptoms, and repeat ultrasonography or needle aspiration biopsy if the nodule grows. [8] For patients with benign thyroid adenomata, thyroid lobectomy and isthmusectomy is a sufficient surgical treatment.