title: Is there still a role for thyroid scintigraphy in the workup of a thyroid nodule in the era of fine needle aspiration cytology and molecular testing?
abstract: Thyroid scintigraphy is now rarely used in the work-up of a thyroid nodule except in the presence of a low TSH value. Therefore, autonomously functioning thyroid nodules (AFTNs) with a normal TSH value are diagnosed only in the rare medical centers that continue to use thyroid scan systematically in the presence of a thyroid nodule. In this review, we discuss the prevalence of AFTN with a normal TSH level and the possible consequences of performing fine needle aspiration cytology (FNAC) in an undiagnosed AFTN. We also discuss the risk of malignant AFTN which may be higher than previously stated.
authors.affiliation: Department of Nuclear Medicine, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Moreno-Reyes
authors.affiliation: Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Aglaia
authors.initials: A
authors.lastname: Kyrilli
authors.affiliation: Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Maria
authors.initials: M
authors.lastname: Lytrivi
authors.affiliation: Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Carole
authors.initials: C
authors.lastname: Bourmorck
authors.affiliation: Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Rayan
authors.initials: R
authors.lastname: Chami
authors.affiliation: Department of Endocrinology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Bernard
authors.initials: B
authors.lastname: Corvilain
keywords: AFTN; Thyroid; scintigraphy