US thyroid biopsy

Strengths

Pathologist present during biopsy to improve diagnostic rate - very low complication rate. On site radiology nurse support.

Limitations

General criteria for biopsy: Solid nodules >=1.5cm (>1cm if suspicious features such as microcalcifications or interval growth; Solid and cystic nodules >=2cm (>1.5cm if suspicious features present or significant interval growth).

Contraindications

Coagulopathy. Some anticoagulants must be held for procedure: coumadin held until INR<=2; lovenox held 1 dose or 12 hours prior to procedure; plavix and full dose aspirin prefer to hold 3-5 days.

To schedule, call Orange Coast or Saddleback Medical Center — numbers on the contact page.