- 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 FNAC is recommended
- If referral is not possible, reliance is placed on clinical and sonographic findings to risk-stratify using the Thyroid Imaging Reporting and Data System (TI-RADS)
- Patients with high risk clinical and sonographic features are advised to have surgery with histological review of the thyroid specimen
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