Painless Thyroid Lump Noticed in Surgery — 45yo Woman | General Surgery | SMLE Q#11619
SMLE Question #11619
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 45-year-old woman presents with a painless thyroid lump noticed 3 months ago. She has no dysphagia, dyspnea, or hoarseness. Examination shows a 2-cm firm, non-tender right thyroid nodule without palpable cervical lymph nodes. Thyroid ultrasound confirms a solid hypoechoic nodule with microcalcifications. Fine-needle aspiration is consistent with medullary thyroid carcinoma, and staging imaging shows no distant metastasis. What is the most appropriate next step in management?
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