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Uptodate Reference Title
Initial evaluation of a patient with a thyroid nodule
Initial evaluation of a patient with a thyroid nodule
This algorithm is intended to be used in conjunction with additional UpToDate content on thyroid nodules.
TSH: thyroid-stimulating hormone; FT4: free thyroxine; T3: triiodothyronine; FNA: fine-needle aspiration. * Patients with TSH above the normal range require an evaluation for hypothyroidism. Refer to UpToDate content on hypothyroidism. ¶ Patients with TSH below the normal range require an evaluation for hyperthyroidism. Refer to UpToDate content on hyperthyroidism. Δ Thyroid nodules that do not meet sonographic criteria for FNA should be monitored with periodic ultrasonography. The frequency of evaluation (ranging from 6 to 24 months) depends upon the sonographic features of the nodules. ◊ Selected cases of subclinical hyperthyroidism warrant treatment. Refer to UpToDate content on subclinical hyperthyroidism and toxic adenoma.
