She discovered the mass 1 week ago. She denies any symptoms pertinent to hyper- or hypothyroidism. She is unware of any recent changes in the size of the mass and denies pain or dysphagia. Her voice has not changed, and she is otherwise in good health. A frozen section in op.
Aspiration biopsy is in order all time after thyroid function test.
Thyroid suppression test is order if the aspiration biopsy and scan support a benign disease. Frozen section diagnosis for follicular neoplasm is poor reliability. But, must be performed. Doctor Clark do only lobectomy if the pathologist can not tell whether it's benign or malignant. A modified neck dissection is in order only if some of the lymph nodes are positive.