Thyroid nodules Flashcards
presentations of thyroid nodules
hoarseness and voice change
neck lump
stridor
swallowing problems
incidental finding ona. scan
nodule
growth of abnormal tissue typically firm and palpable
are small thyroid lesions detectable >1cm
no they are usually radiologically detected
what lymphocytes are infiltrattive
any
neck symptoms on history taking
Lump size, pain, soft/hard, mobile
Duration / growth rate
Voice / Stridor
Swallow
Other lumps
blood tests
TSH and calcium
what is ct used for
reserved for local cancer invasion or advanced mass
what scan to do is TSH suppressed
radiostope scan
what imaging to use
ultrasound to assess nodule size, number, shape, background, nodes
nodule sizes
U1 – Normal
U2 – Benign
U3 – Indeterminate / Equivocal
U4 – Suspicious
U5 – Malignant
indications for thyroidectomy
nodule has risk of cancer
symptomatic nodule
total thyroidectomy indications
if nodule >4cm or evidence of
metastasis
if toxic
cancerous/ might be cancerous
lobectomy/ hemithyroid indications
if <4cm , diagnostic doubt
remove part of thyroid- one of lobes
who are nodules more common in
females
are systemic symptoms common
no
