Head & Neck Clinic / Two-week-rule tree / Thyroid decisionsCLINICALLY REVIEWED Fictional educational material only—not a clinical decision aid. Check current guidance and the applicable local pathway before use.
Fictional educational cases. This is not an examination pass score or a real-patient treatment tool. No patient information is collected. Changing patient or restarting clears this attempt. Choose an encounter 1. Inadequate sample · uncertainty is still active 2. Indeterminate nodule · surgery or surveillance? 3. Suspicious node · define the neck operation 4. Confirmed cancer · justify limited surgery 5. Compressive goitre · plan and bailout 6. Final pathology · completion is a new decision Original three patients Inadequate sample · uncertainty is still active A 44-year-old has a 2.7 cm right thyroid nodule. It meets the local ultrasound sampling threshold. There is no acute airway problem or current voice change.
Decision 1 of 5 · Reasoning Information available now The targeted aspirate is reported Thy1: too few follicular cells for interpretation. The nodule is predominantly solid, not a simple cyst. TSH is normal.
What does this result establish? The sample is inadequate; malignancy has neither been established nor excluded The normal TSH and Thy1 together exclude cancer This proves thyroid cancer and requires total thyroidectomy Restart attempt · Return to reference tree
Postoperative Rescue Lab · Results & MDT Decisions Lab · Reconstruction Decisions Lab · Thyroid Results & Surgical Decisions Lab · Adult Neck Lump & Diagnostic Discordance Lab