Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Nodule Size
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Nodule Size

Is it true that once a nodule reaches 4cm, surgical removal is recommended?

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This is a matter of opinion, it depends on other clinical factors such as compressive symptoms, biopsy results, rate of change of the nodule and patient preference.  The argument is that the fine-needle aspiration biopsy may be less accurate for large nodules and typically I perform fine-needle aspiration at least twice on such cases if there is no other clear indication for surgery..
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