Thyroid+Nodule+-+FNA+Clinic

Thyroid Nodule FNA Clinic

Thyroid FNA (Fine Needle Aspiration) Clinic staffed by our pathologists beginning September 20, 2011. The procedure will be performed in the minor procedure room of the Martinez Health Center Building One. The requesting provider can schedule the procedure by completing the "Fine Needle Aspiration (FNA) Request" form located under the medical records icon: [] under the Lab and Pathology Department section. Questions call 370-5400 Once the patient is on the schedule, it will appear in the EPIC scheduling system.

The following recommendations are from the 2009 “Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer:”
 * Measure serum TSH in the initial evaluation of a patient with a thyroid nodule. If the serum TSH is subnormal, aradionuclide thyroid scan should be performed. Recommendation rating: A
 * Thyroid sonography should be performed in all patients with known or suspected thyroid nodules. Recommendation rating: A
 * FNA is the procedure of choice in the evaluation of thyroid nodules. Recommendation rating: A
 * US guidance for FNA is recommended for those nodules that are nonpalpable, predominantly cystic, or located posteriorly in the thyroid lobe. Recommendation rating: B
 * US guidance should be used when repeating the FNA procedure for a nodule with an initial nondiagnostic cytology result. Recommendation rating: A
 * Partially cystic nodules that repeatedly yield nondiagnostic aspirates need close observation or surgical excision. Surgery should be more strongly considered if the cytologically nondiagnostic nodule is solid. Recommendation rating: B
 * If the nodule is benign on cytology, further immediate diagnostic studies or treatment are not routinely required. Recommendation rating: A