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"When does a thyroid nodule actually need a biopsy?" I asked top ENT & Thyroid Surgeon Dr. Michael Wolfe to clear up the confusion around nodule size and biopsy recommendations. He follows the American Thyroid Association guidelines and breaks it down by risk level (often determined by your TI-RADS score): 👍Mid to High Risk: Biopsy at 1 cm (about the width of your pinky nail). 👍Low Risk: Biopsy at 1.5 cm. 👍Almost Everything Else: Once it reaches 2 cm, it generally gets biopsied. 👍Pure Cysts:
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