Case challenge · Surgical approach decision / Thyroid surgery / Endocrinology · teaching
Thyroid Nodule · Surveillance vs Surgery + Approach · case challenge
Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.
← View the full flowchartBased on ATA 2015 / Bethesda
Case #1Surgical approach decision / Thyroid surgery / Endocrinology
📋 Case data
- US risk+size→FNA; Bethesda; compression/functionBethesda V/VI (suspicious/malignant)
- V/VI suspicious/malignant · choose extentLow-risk DTC 1–4 cm, unilateral, no extrathyroidal extension/nodal metastasis
Data is taken from this pathway's reviewed node text. Work through the pathway step by step.
Step 1 / 2 · US risk+size→FNA; Bethesda; compression/function
US risk/size (FNA) + cytology Bethesda + compression/function?
💡 FNA size thresholds: high-suspicion ≥1 cm, intermediate ≥1–1.5 cm, low ≥1.5 cm, very-low ≥2 cm or observe, benign no FNA.
For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.