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21

NCCN Guidelines for Patients

®

:

Thyroid Cancer, Version 1.2017

2

Testing

Test results

Guide 5. FNA results

FNA results

Details of the FNA results Will I get treatment?

Thyroid cancer

or

Concern for thyroid cancer

ª

ª

ª

Papillary or

concern for

papillary

ª

Yes, treatment for papillary

Medullary or

concern for

medullary

ª

Yes, treatment for medullary

Anaplastic or

concern for

anaplastic

ª

Yes, treatment for anaplastic

Concern for follicular or

Hürthle cell neoplasm

ª

High concern for

cancer or concern

from imaging test

ª

Yes, consider removing lobe of thyroid or

whole thyroid to check for cancer

No, consider:

• Removing lobe of thyroid for testing

• Molecular testing (for follicular)

• Observe, if risk is low for thyroid cancer

ª

AUS/FLUS (

a

typia

of

u

ndetermined

s

ignificance/

f

ollicular

l

esion of

u

ndetermined

s

ignificance)

ª

High concern for

cancer or concern

from imaging test

ª

Yes, consider removing lobe of thyroid or

whole thyroid to check for cancer

No, consider:

• Removing lobe of thyroid for testing

• Molecular testing

• Observe, if risk is low for thyroid cancer

ª

Thyroid lymphoma (rare

type of thyroid cancer)

ª

Yes, see recommended treatment for

non-Hodgkin’s lymphoma

Insufficient biopsy

(not enough of sample)

ª

Cyst (fluid)

ª

No, consider:

• Ultrasound

• FNA areas of concern again

ª

Solid nodule

ª

Yes, consider removing nodule

Benign (not cancer)

ª

• Observe

• If nodule growth, do FNA or consider

removing nodule