Routine Thyroid cancer screening by ultrasound? You should say No
- Unless you have a first degree relative with thyroid cancer. Familial non-medullary thyroid papillary thyroid cancer FNMPTC is an indication to screen.
- Unless you have relatives with autoimmune thyroid diseases Graves’ or Hashimoto’s.
- Unless you have abnormal thyroid tests and antibodies to suggest you have Hashimoto’s thyroditis.
- Unless you have a physical finding in the neck such as a enlarged thyroid goiter or nodule.
- Unless you have had radiation for head and neck cancers such as Hodgkin’s disease.
- If you do not have an indication say no thank you to a request for a thyroid ultrasound.
An ultrasound is the first step toward surgery that you may not need for small harmless nodules that get biopsied and look suspicious but are not cancer.
Get an outside opinion before you have a thyroid ultrasound from an endocrinologist.
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