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International Primary Care Association

Clinical Focus Volume 1 N1

Assessment of a midline neck mass


The finding of a thyroid nodule raises concern of malignant disease. Thyroid nodules are common but thyroid cancer is rare. The incidence of thyroid cancer in those with clinical features strongly suggestive of malignancy is high but the majority of patients do not have these features. Appropriate investigation will identify the more common benign nodules, avoiding unnecessary testing and surgical treatment in the majority. All patients with thyroid nodules require biochemical assessment to exclude hyper or hypothyroidism and overt thyroid dysfunction effectively rules our malignancy. Fine needle aspiration cytology (FNAC) is increasingly used as first line investigation of thyroid nodules. Fine needle aspiration cytology and a thyroid function test are cornerstones of investigation.

Additional Info

  • Authors: S Benjamin & K Jones
  • Keywords: Thyroid, fine needle aspiration cytology
  • Login: Please login to view Full Text of the article
Read 10765 times Last modified on Friday, 23 November 2012 13:24

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