Would You Biopsy This Thyroid Nodule? A Case In Point

February 4, 2014

Would you biopsy a 1-cm mobile nodule in the thyroid area of this 55-year-old woman who had mantle field radiation for a childhood cancer?

A 55-year-old woman comes to your office and tells you that she has been worried about a “lump in her throat” for the past 3 months. You examine her neck and find a firm mobile nodule (1-cm in diameter) in the thyroid area.

The patient has a history of mantle field radiation for a childhood cancer. Her TSH level is normal. You refer her for ultrasonography, which shows a 1.2-cm hypoechoic solid nodule.

What would you recommend as the next step?

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