Letters to the Editor October 01, 2015 October 01, 2015

Indications for fine-needle aspiration in spongiform thyroid nodules

DOI: 10.1590/2359-3997000000112

Dear Editor,

For spongiform thyroid nodule that is not autonomous (suspected by low TSH and confirmed by 131I or 123I scintigraphy), unless the patient has a high risk of malignancy, (i) the Brazilian Society of Endocrinology and Metabolism recommends fine-needle aspiration (FNA) if the nodule is ≥ 2 cm (); (ii) the British Thyroid Association not recommends FNA (); and (iii) the American Thyroid Association recommends FNA if the nodule is ≥ 2 cm, but ultrasonographic follow-up without biopsy is considered to be an acceptable alternative ().

[…]