Thyroid nodule is a frequent clinical problem. Since the majority of t
hese are benign, it is important to identify the cancers among them an
d at the same time avoid surgery in most. Fine needle aspiration biops
y is a direct method, reliable and without risk. Today this technique
constitute the first step in evaluation of a thyroid nodule. If done p
roperly, it will have a false negative rate of 1 to 2%. In few cases t
he diagnosis will remain uncertain even after the needle biopsy. In th
ese cases thyroid scan and clinical criteria will be helpfull to reach
a therapeutic decision.