ultrasound scan of necksolid hypoechoic nodule 1.8 ? 1.2 ?

A 49-year-old woman presented with a mass in her neck that was causing no specific symptoms.

Examination revealed a solitary nodule in the right thyroid lobe, with no associated

lymphadenopathy. Thyroid function was normal. No other abnormality was noted. There was no evidence of lymphadenopathy in the neck.

Investigations:

ultrasound scan of necksolid hypoechoic nodule 1.8 ? 1.2 ? 1 cm

in right thyroid lobe;

cyst 0.6 ? 0.3 ? 0.2 cm in left thyroid lobe

cytology (fine-needle aspirationscanty colloid with abundant

from nodule in right lobe)thyroid follicular cells (Thy3f)

What is the most appropriate next step in management?
A . reassure that the nodule is not malignant and discharge
B . repeat cytology for confirmation
C . serum thyroglobulin
D . thyroid lobectomy for histological diagnosis
E . total thyroidectomy for histological diagnosis

View Answer

Answer: D