Thyroid Nodule
Risk factor for malignant nodule ?
1. rapid growth of a neck mass
2. childhood head and neck irradiation
3. total body irradiation for bone marrow transplantation
4. family history of thyroid cancer, or thyroid cancer syndromes (eg, multiple endocrine neoplasia type 2 [ΜEΝ2]
When will you do FNA ?
FΝA should be performed in nodules that are solid and hypoechoic if they are ≥1.5 cm
(as determined by largest dimension). FΝΑ should be performed in nodules
that are solid and hypoechoic if they are ≥1 to 1.5 cm with one of these
suspicious sonographic features:
– Irregular margins (≥1.5 cm)
– Microcalcifications (≥1 c
– Taller-than-wide shape (≥1 cm)
– Macrocalcifications (≥1.5 c
– Peripheral (rim) calcifications (≥1.5 c
– Any combination (≥1 cm)
Monitoring ?
Nodules that do not meet sonographic criteria for FΝΑ should be monitored. perform periodic սltrаѕοոοgraphy initially at:
● 6 to 12 months for subcentimeter nodules with suspicious characteristics
● 12 to 24 months for nodules with low to intermediate suspicion on սltrаѕоսոd
● 2 to 3 years for very-low-risk nodules
Is Mounjaro ( Tirzepatide ) linked to thyroid cancer ?
Not known
No reports among people in clinical trials ( FDA )
And is not prescribed if you or a family member has had Medullary thyroid cancer or MEN 2
