The correct diagnosis of the thyroid nodule begins with clinical examination, interrogation, biochemical detection of the hormone level and ultrasonography (USG), and, if necessary, fine needle aspiration cytology (FNAC). The FNAC decision is based on the clinical and radiological (USG) characteristics of the nodule. At this stage, it is essential to classify the nodule according to current knowledge and guidelines regarding the risk of cancer. Thyroid nodule diagnosis is prevalent, but no surgical treatment is needed to treat all of them.
A 29-year-old male patient with a diagnosis of papillary microcarcinoma who underwent surgical resection for a solid thyroid nodule was presented. While describing the clinical process of this case, the limits of surgery (total thyroidectomy–hemithyroidectomy) were discussed.
The correct implementation of procedures for the operation decision, the evaluation of the results, and the place of concept of work multidisciplinary in the whole process were reviewed according to current guidelines.
This is a preview of subscription content, log in to check access.
Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid Cancer. Thyroid. 2016;26:1–133. https://doi.org/10.1089/thy.2015.0020.CrossRefPubMedPubMedCentralGoogle Scholar
Gharib H, Papini E, Paschke R, Duick DS, Harrell RM, Hegedüs L, et al. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi medical guidelines for clinical practice for the diagnosis and management of thyroid nodules – 2016 update. Endocr Pract. 2016;22:622–39. https://doi.org/10.4158/EP161208.GL.CrossRefPubMedGoogle Scholar