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Thyroid needle biopsy

thyroid FNA · fine needle aspiration of the thyroid · thyroid nodule biopsy

Using ultrasound to guide it, a thin needle takes cells from a thyroid lump, called a nodule, to see if it is harmless.

When an ultrasound finds a nodule of a certain size or with worrying features.

⏱ Duration: usually 15 to 20 minutes

Be sure to tell your doctor

How to prepare

  • Food. Usually no special prep. A light breakfast is fine.
  • Neck. No high collar and no jewelry around your neck.

What to bring

  • Your referral
  • The ultrasound report describing the nodule
  • Thyroid hormone test results, if you have them

How it goes

  1. You lie on your back with a roll under your shoulders, so your head tilts back
  2. The doctor finds the nodule on ultrasound and cleans the skin
  3. Sometimes a local numbing injection is given
  4. Cells are taken with a thin needle a few times, a few seconds each
  5. You are asked not to swallow or talk while the needle is in
  6. A pad is pressed on the spot

What you'll feel

  • It feels like a regular injection
  • You may feel pressure in your neck

Afterwards

  • Keep pressing the pad for 10 to 15 minutes
  • A small bruise or soreness is normal and goes away in 1 to 2 days
  • Results usually come in 5 to 10 days

Contact a doctor straight away if

  • Neck swelling that grows fast, or trouble breathing or swallowing: call emergency services right away

Common questions

Can a biopsy spread the cells?

No, that is a myth. A needle biopsy is a standard, safe way to find out what a nodule is.