What does a thyroid nodule biopsy show?

A biopsy helps your doctor find the cause of a nodule or goiter. But you don’t need it for all thyroid problems. For example, your symptoms, blood tests, and imaging will be enough to tell if you have Graves’ disease.

What is Hyperfunctioning thyroid nodule?

A hyperfunctioning or “hot” nodule is defined as a nodular region of the thyroid gland, which is visualized as a “hot spot” on thyroid scans due to the larger amount of radiotracer, compared with the surrounding normal thyroid glands (1, 2).

What does dominant nodule mean?

Dominant thyroid nodules of the isthmus are a rare indication for surgical resection. Although the overall frequency of isthmus nodules is uncertain, cancers arising within such nodules among all malignant thyroid nodules reportedly range from 1% to 9%.

Which thyroid nodules should be biopsied?

According to the Society of Radiologists in Ultrasound, biopsy should be performed on a nodule 1 cm in diameter or larger with microcalcifications, 1.5 cm in diameter or larger that is solid or has coarse calcifications, and 2 cm in diameter or larger that has mixed solid and cystic components, and a nodule that has …

What is a hyperfunctioning thyroid nodule?

Background Autonomously hyperfunctioning thyroid nodules rep- resent approximately 5–10% of all thyroid nodules. These so-called “hot nodules” are defined by in- creased radiotracer uptake compared to surrounding thyroid parenchyma on scintigraphy. Hot nodules can exist as a single hot nodule or as toxic multi-nodular goiters (TMNG).

When are biopsies indicated in the evaluation of thyroid nodules?

Lesions with features suggestive of malignancy and those in patients with risk factors for thyroid cancer should be biopsied, regardless of size. Smaller lesions and those with benign histology can be followed and reevaluated if they grow. The evaluation of thyroid nodules in euthyroid and hypothyroid pregnant women is the same as in other adults.

What are the diagnostic options for thyroid nodules?

If it is low, radionuclide scintigraphy should be performed. Thyroid ultrasonography should be performed in patients with known or suspected thyroid nodules. Fine-needle aspiration is the procedure of choice for sampling thyroid nodules for biopsy, except for hyperfunctioning nodules, which do not require biopsy.

When is ultrasonography indicated in the workup of thyroid nodules?

Thyroid ultrasonography should be performed in patients with known or suspected thyroid nodules. Fine-needle aspiration is the procedure of choice for sampling thyroid nodules for biopsy, except for hyperfunctioning nodules, which do not require biopsy.