AfHNS guidelines for evaluation of a thyroid nodule / mass

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  • Wayne’s Index
  • After addressing possible thyrotoxicosis, U/S may assist to differentiate a single hypervascular (potentially hyperfunctional) nodule vs. diffusely hypervascular goiter (Graves disease)
  • Note that FNAC of a hypervascular (hyperfunctional) nodule has reduced sensitivity and specificity
  • Indications for FNAC based on clinical and sonographic features
  • 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