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Case Details
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Case Details
Thyroid Nodule
Author: Dr. Hasan Altarrah
Published Date: 09/05/2026
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CC:
Neck Lump
Description
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Description
Risk Factors for Malignant Nodule
Rapid growth of a neck mass
Childhood head and neck irradiation
Total body irradiation for bone marrow transplantation
Family history of thyroid cancer or thyroid cancer syndromes (eg, Multiple Endocrine Neoplasia Type 2 - MEN2)
When Will You Do FNA?
FNA should be performed in nodules that are solid and hypoechoic if they are ≥1.5 cm
FNA should also be performed in nodules ≥1 to 1.5 cm with suspicious sonographic features
Irregular margins (≥1.5 cm)
Macrocalcifications (≥1.5 cm)
Any combination of suspicious features (≥1 cm)
Microcalcifications (≥1 cm)
Peripheral (rim) calcifications (≥1.5 cm)
Taller-than-wide shape (≥1 cm)
Monitoring
Nodules that do not meet sonographic criteria for FNA should be monitored with periodic ultrasonography
6 to 12 months for subcentimeter nodules with suspicious characteristics
12 to 24 months for nodules with low to intermediate suspicion on ultrasound
2 to 3 years for very low-risk nodules
Mounjaro (Tirzepatide) & Thyroid Cancer
Currently not known to be linked to thyroid cancer
No reports among people in FDA clinical trials
Not prescribed if you or a family member has had Medullary Thyroid Cancer or MEN 2
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