Name of the Procedure:

Incidental Thyroid Nodule < 1.0 cm Noted in Report (G9552)

Common name(s): Thyroid Nodule Monitoring
Technical or medical terms: Incidental Thyroid Nodule Monitoring, Thyroid Ultrasound Evaluation

Summary

An incidental thyroid nodule is a small lump found on the thyroid gland, usually discovered by chance during imaging tests for other conditions. When the nodule is less than 1.0 cm in size, it typically requires monitoring rather than immediate intervention.

Purpose

This procedure aims to monitor small thyroid nodules to ensure they do not grow or develop malignant characteristics. The goal is to detect any changes early to facilitate timely intervention.

Indications

• Thyroid nodules detected incidentally during imaging for other reasons.
• Nodules smaller than 1.0 cm that do not show suspicious features.
• No symptoms directly linked to the thyroid nodule.

Preparation

• No specific preparation required for the monitoring of incidental thyroid nodules.
• Prior imaging tests (like neck ultrasound) to confirm nodule size and characteristics.

Procedure Description

• The primary monitoring technique involves periodic ultrasounds to observe any changes in the nodule size or characteristics.
• The use of high-resolution ultrasound equipment helps in detailed visualization.
• Anesthesia or sedation is not required for image-based monitoring.

Duration

The monitoring process during each visit usually takes about 15-30 minutes.

Setting

Performed in an outpatient clinic or hospital's radiology department.

Personnel

• Radiologists to perform and interpret the ultrasound.
• Medical specialists, such as endocrinologists, to review results and suggest follow-up.

Risks and Complications

• Minimal risks associated with repeated ultrasound imaging.
• Slight potential for missing an early detection if the nodule changes rapidly between screenings.

Benefits

• Non-invasive and painless monitoring procedure.
• Early detection of any significant changes in the nodule, allowing for timely intervention.

Recovery

• No recovery time as the procedure is non-invasive.
• Resume normal activities immediately after the ultrasound.

Alternatives

• Fine-needle aspiration biopsy if nodule shows suspicious features.
• Regular clinical checkups without imaging if low risk is assessed.

Patient Experience

• During the ultrasound, the patient may feel the cool gel on the neck area but should experience no pain.
• After the procedure, no special pain management or comfort measures are typically needed.

By understanding the importance of monitoring incidental thyroid nodules, patients and medical providers can ensure that potential issues are managed effectively with minimal disruption to the patient's life.