Thyroid solid lump in ultrasnd, then fna not conclusive due to blood, 2nd fna came out atypia. can we opt for surgical biopsy before the surgery? thx

Thyroidmassdiagnosis: Nuclear studies can be helpful. http://www.endocrineweb.com/conditions/thyroid/fine-needle-biopsy-thyroid-nodules Masses concentrating iodine are a little less likely to be cancer. Need for removal of the mass depends on clinical eval, incl. blood tests. Endocrine surgeons are specialists who are very good at sorting this out. Sometimes frozen microscopic sections are looked at during surgery.

Thyroid nodule surg: Sometimes the FNA is inconclusive, the nodule looks worrisome; surgery is indicated. Yes, the surgeon can remove the lump, get a quick (frozen) diagnosis, and if benign do no more. But sometimes the quick dx is wrong, and the surgeon may need to then do a second surgery. These are complex decisions; discuss with Endocrinologist and a good thyroid surgeon (who does this all the time).