- Wayne’s Index
- After addressing thyrotoxicosis, U/S may assist to differentiate a single hypervas-cular (potentially hyperfunctional) nodule vs. diffusely hypervascular goiter (Graves disease)
- Other than with a rapidly growing thyroid mass, biopsy of a thyroid nodule is typically not urgent, and referral to a better resourced center for U/S and FNAC is recommended
- If ultrasound and FNAC are not possible, reliance is placed on clinical features to risk-stratify
- Patients with high risk clinical features are advised to have surgery with histolo-gical review of the thyroid specimen
- U/S can be used to risk-stratify using the Thyroid Imaging Reporting and Data System (TI-RADS)
Return to Thyroid nodule Evaluation Resource Appropriate Guidelines
Index: Clinical Practice Guidelines for Thyroid
African Head & Neck Society (AfHNS) Clinical Practice Guidelines for Head & Neck Cancers in Developing Countries and Limited Resource Settings 