A 49-year-old woman has a 1.8-cm solid hypoechoic thyroid nodule with irregular margins on ultrasound. TSH is normal. She has no compressive symptoms

Question

A 49-year-old woman has a 1.8-cm solid hypoechoic thyroid nodule with irregular margins on ultrasound. TSH is normal. She has no compressive symptoms or medullary thyroid cancer family history. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform fine-needle aspiration biopsy

Answer

Treat with antibiotics

Answer

Repeat ultrasound in 10 years

Answer

Perform radioactive iodine uptake scan first

Answer

Start levothyroxine suppression therapy

Thyroid nodule — USMLE Step 3 MCQ

A 49-year-old woman has a 1.8-cm solid hypoechoic thyroid nodule with irregular margins on ultrasound. TSH is normal. She has no compressive symptoms or medullary thyroid cancer family history. Which of the following is the most appropriate next step in management?