Nodular thyroid disease physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

Neck

• Most thyroid nodules are not detected by clinicians.
• The physical findings suggestive of malignancy include a firm, non-mobile nodule with rapid growth.

  • Unfortunately, these findings are not sensitive or specific.

• Hard nodules can be found in chronic thyroiditis, and soft nodules in cystic papillary cancer.
• Vocal cord paralysis and enlarged lymph nodes may also be indicative of malignancy.