Thyroid Nodules/ Oxford

Question 1

What are the D.D of thyroid Nodules?

Answer 1

• malignant thyroid Nodules
• solitary toxic Nodules
• subacute thyroiditis ( de quervain’s)
• bleed into a cyst lesion.

Question 2

What are the investigations for thyroid Nodules?

Answer 2

1- TFT and thyroid antibodies.
2- thyroglobulin levels: suggests malignancy if > 100 mcg/ L.
3- ultrasound.
4- fine needle aspiration.
5- biopsy.

Question 3

When is the best time for surgery in thyroid malignant lesions in pregnancy?

Answer 3

2nd and 3rd trimester.

Question 4

What are the symptoms or signs suggesting malignancy in thyroid Nodules?

Answer 4

1- past history of radiation the neck or chest.
2- fixed lump
3- lymphadenopathy
4- rapid growth of painless Nodule
5- voice change
6 - neurological involvement (such as Horner’s syndrome ).