Fine Needle Aspiration of a Thyroid Nodule
Rachel Jacobs, SCT(ASCP) CM
Presentation Date: July 1, 2016; Expires: July 30, 2019
To maintain professional competency with Fine Needle Aspirations of the Thyroid
To distinguish the diagnosis between a benign and malignant thyroid neoplasm
To understand the characteristics and cellular features of varying thyroid malignancies
The patient is a 46 year old male with incidental finding of a 5 cm right lower pole solid thyroid nodule with macrocalcifications. The patient has no other history of abnormal findings. The patient lived in Ukraine from birth until the age of 10, when he then came to the United States and has lived here since. After developing a cold, the patient had a persistent cough and difficulty breathing that would not go away. His provider checked his cervical lymph nodes, and they were verified and found to be benign. An ultrasound was later performed and a nodule was identified in his right lower pole as a capsulated nodule. The nodule was solitary, hard, fixed and irregular. On I Scan the nodule was cold. The differential diagnosis was lymphadenopathy vs. Thyroid Neoplasm. A fine needle aspiration was performed.