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'''For the WikiDoc page for this topic, click [[Thyroid nodule|here]]''' | |||
{{Thyroid nodule (patient information)}} | {{Thyroid nodule (patient information)}} | ||
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== Overview == | == Overview == | ||
A thyroid nodule is a growth (lump) in the thyroid gland. The thyroid gland is located at the base of the neck. | A [[thyroid nodule]] is a [[growth]] ([[lump]]) in the [[thyroid gland]]. The [[thyroid gland]] is located at the base of the [[neck]]. | ||
== What are the symptoms of | == What are the symptoms of thyroid nodule? == | ||
Most thyroid nodules do not cause symptoms. | Most [[Thyroid nodule|thyroid nodules]] do not cause [[symptoms]]. | ||
* Large nodules can press against other structures in the neck, causing symptoms such as: | * Large nodules can press against other structures in the [[neck]], causing [[symptoms]] such as: | ||
** Goiter or an enlarged thyroid gland or lump(s) in the neck | ** [[Goiter]] or an enlarged [[thyroid gland]] or [[lump]](s) in the [[neck]] | ||
** Hoarseness or changing voice | ** [[Hoarseness]] or changing voice | ||
** Pain in the neck | ** [[Pain]] in the [[neck]] | ||
** Problems breathing | ** Problems [[breathing]] | ||
** Problems swallowing | ** Problems [[swallowing]] | ||
* Nodules that produce thyroid hormones will likely cause symptoms of overactive thyroid gland, including: | * Nodules that produce [[thyroid hormones]] will likely cause [[symptoms]] of overactive [[thyroid gland]], including: | ||
** Clammy skin | ** [[Cool extremities|Clammy]] [[skin]] | ||
** Fast pulse | ** Fast [[pulse]] | ||
** Increased appetite | ** Increased [[appetite]] | ||
** Nervousness | ** [[Nervousness]] | ||
** Restlessness | ** [[Restlessness]] | ||
** Skin blushing or flushing | ** [[Skin]] [[blushing]] or [[flushing]] | ||
** Weight loss | ** [[Weight loss]] | ||
* Thyroid nodules are sometimes found in people who have Hashimoto's disease, which may cause symptoms of an underactive thyroid gland, such as: | * [[Thyroid nodule|Thyroid nodules]] are sometimes found in people who have [[Hashimoto's thyroiditis|Hashimoto's]] disease, which may cause [[symptoms]] of an underactive [[thyroid gland]], such as: | ||
** Dry skin | ** [[Xeroderma|Dry skin]] | ||
** Face swelling | ** Face [[swelling]] | ||
** Fatigue | ** [[Fatigue]] | ||
** Hair loss | ** [[Alopecia|Hair loss]] | ||
** Intolerance to cold | ** Intolerance to cold | ||
** Weight gain | ** [[Weight gain]] | ||
== What causes | == What causes thyroid nodule? == | ||
Thyroid nodules are growths of cells in the thyroid gland. These growths can be: | [[Thyroid nodule|Thyroid nodules]] are growths of cells in the [[thyroid gland]]. These growths can be: | ||
* Not cancer (benign) or thyroid cancer | * Not [[cancer]] ([[benign]]) or [[thyroid cancer]] | ||
* Fluid-filled (cysts) or made up of thyroid gland cells | * Fluid-filled ([[cysts]]) or made up of [[thyroid gland]] [[Cell (biology)|cells]] | ||
* One nodule or a group of small nodules | * One nodule or a group of small nodules | ||
Causes of thyroid nodules are not always found, but can include: | Causes of [[Thyroid nodule|thyroid nodules]] are not always found, but can include: | ||
* Hashimoto's disease | * [[Hashimoto's disease]] | ||
* Lack of iron in the diet | * Lack of [[iron]] in the [[Diet (nutrition)|diet]] | ||
== Who is at highest risk? == | == Who is at highest risk? == | ||
Only a few thyroid nodules are due to thyroid cancer. A thyroid nodule is more likely to be cancer if it is | Only a few [[Thyroid nodule|thyroid nodules]] are due to [[thyroid cancer]]. A thyroid nodule is more likely to be [[cancer]] if it is | ||
* Hard nodule | * Hard [[Nodule (medicine)|nodule]] | ||
* Nodule that is stuck to nearby structures | * [[Nodule (medicine)|Nodule]] that is stuck to nearby structures | ||
* Family history of thyroid cancer | * [[Family history]] of [[thyroid cancer]] | ||
* Hoarse voice | * [[Hoarseness|Hoarse voice]] | ||
* Younger than 20 or older than 70 | * Younger than 20 or older than 70 | ||
* History of radiation exposure to the head or neck | * History of [[Radiation therapy|radiation]] exposure to the [[head]] or [[neck]] | ||
* Male gender | * [[Male]] gender | ||
== Diagnosis == | == Diagnosis == | ||
Very often, nodules produce no symptoms. Doctors will find thyroid nodules only during a routine physical exam or imaging tests that are done for another reason. However, thyroid nodules that are big enough to feel during a physical exam occur in a few people. | Very often, nodules produce no [[symptoms]]. Doctors will find [[Thyroid nodule|thyroid nodules]] only during a routine [[physical exam]] or imaging tests that are done for another reason. However, [[Thyroid nodule|thyroid nodules]] that are big enough to feel during a [[physical exam]] occur in a few people. | ||
If the doctor finds a nodule or you have symptoms of a nodule, the following tests may be done: | If the doctor finds a nodule or you have [[symptoms]] of a nodule, the following tests may be done: | ||
* TSH level and other thyroid blood tests | * [[TSH]] level and other [[Thyroid function tests|thyroid blood tests]] | ||
* Thyroid ultrasound | * [[Thyroid]] [[ultrasound]] | ||
* Thyroid scan | * [[Radioactive iodine uptake|Thyroid scan]] | ||
* Fine needle aspiration biopsy | * [[Fine needle aspiration|Fine needle aspiration biopsy]] | ||
== When to seek urgent medical care? == | == When to seek urgent medical care? == | ||
Call your health care provider if you feel or see a lump in your neck, or if you experience any symptoms of a thyroid nodule. | * Call your health care provider if you feel or see a [[lump]] in your [[neck]], or if you experience any [[symptoms]] of a [[thyroid nodule]]. | ||
If you have been exposed to radiation in the face or neck area, call your health care provider. A neck ultrasound can be done to look for thyroid nodules. | * If you have been exposed to [[Radiation therapy|radiation]] in the [[face]] or [[neck]] area, call your health care provider. A [[neck]] [[ultrasound]] can be done to look for [[Thyroid nodule|thyroid nodules]]. | ||
== Treatment options == | == Treatment options == | ||
Health care provider may recommend surgery to remove all or part of your thyroid gland if the nodule is: | (a) Health care provider may recommend [[surgery]] to remove all or part of your [[thyroid gland]] if the [[Nodule (medicine)|nodule]] is: | ||
* Believed to be making too much thyroid hormone | * Believed to be making too much [[thyroid hormone]] | ||
* Causing symptoms such as swallowing or breathing problems | * Causing [[symptoms]] such as [[swallowing]] or [[breathing]] problems | ||
* Due to thyroid cancer | * Due to [[thyroid cancer]] | ||
* Not able to be diagnosed as cancer or not cancer | * Not able to be diagnosed as [[cancer]] or not [[cancer]] | ||
Patients with nodules that are making too much thyroid hormone may be treated with radioactive iodine. This treatment reduces the size and activity of the nodule. Pregnant women should not be given this treatment. | (b) Patients with [[Nodule (medicine)|nodules]] that are making too much [[thyroid hormone]] may be treated with [[radioactive iodine]]. This treatment reduces the size and activity of the [[Nodule (medicine)|nodule]]. Pregnant women should not be given this treatment. | ||
Both surgery to remove thyroid gland tissue and radioactive iodine treatment carry risks of long-term thyroid problems. | (c) Both [[surgery]] to remove [[thyroid gland]] [[Tissue (biology)|tissue]] and [[radioactive iodine]] treatment carry risks of long-term [[thyroid]] problems. | ||
For | (d) For non-[[cancerous]] nodules that do not cause [[symptoms]] and are not growing, the best treatment may be: | ||
* Careful follow-up with a [[physical exam]] and [[ultrasound]] | |||
* A [[thyroid]] [[biopsy]] repeated 6 - 12 months after diagnosis, especially if the nodule has grown | |||
* Another possible treatment is [[ethanol]] ([[alcohol]]) injection into the [[Nodule (medicine)|nodule]] to shrink it. | |||
== Where to find medical care for thyroid nodule? == | |||
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Thyroid nodule}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Thyroid nodule] | |||
== Where to find medical care for | |||
= | |||
== What to expect (Outlook/Prognosis)? == | == What to expect (Outlook/Prognosis)? == | ||
Non-[[cancerous]] [[thyroid]] nodules are not life threatening. Many do not require treatment. Follow-up exams are enough. | |||
The outlook for [[thyroid cancer]] depends on the type of [[cancer]]. | |||
== Sources == | == Sources == | ||
http://www.nlm.nih.gov/medlineplus/ency/article/007265.htm | |||
== References == | == References == | ||
Latest revision as of 14:51, 24 October 2017
For the WikiDoc page for this topic, click here
|
Thyroid nodule |
|
Thyroid nodule On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
A thyroid nodule is a growth (lump) in the thyroid gland. The thyroid gland is located at the base of the neck.
What are the symptoms of thyroid nodule?
Most thyroid nodules do not cause symptoms.
- Large nodules can press against other structures in the neck, causing symptoms such as:
- Goiter or an enlarged thyroid gland or lump(s) in the neck
- Hoarseness or changing voice
- Pain in the neck
- Problems breathing
- Problems swallowing
- Nodules that produce thyroid hormones will likely cause symptoms of overactive thyroid gland, including:
- Clammy skin
- Fast pulse
- Increased appetite
- Nervousness
- Restlessness
- Skin blushing or flushing
- Weight loss
- Thyroid nodules are sometimes found in people who have Hashimoto's disease, which may cause symptoms of an underactive thyroid gland, such as:
- Dry skin
- Face swelling
- Fatigue
- Hair loss
- Intolerance to cold
- Weight gain
What causes thyroid nodule?
Thyroid nodules are growths of cells in the thyroid gland. These growths can be:
- Not cancer (benign) or thyroid cancer
- Fluid-filled (cysts) or made up of thyroid gland cells
- One nodule or a group of small nodules
Causes of thyroid nodules are not always found, but can include:
- Hashimoto's disease
- Lack of iron in the diet
Who is at highest risk?
Only a few thyroid nodules are due to thyroid cancer. A thyroid nodule is more likely to be cancer if it is
- Hard nodule
- Nodule that is stuck to nearby structures
- Family history of thyroid cancer
- Hoarse voice
- Younger than 20 or older than 70
- History of radiation exposure to the head or neck
- Male gender
Diagnosis
Very often, nodules produce no symptoms. Doctors will find thyroid nodules only during a routine physical exam or imaging tests that are done for another reason. However, thyroid nodules that are big enough to feel during a physical exam occur in a few people.
If the doctor finds a nodule or you have symptoms of a nodule, the following tests may be done:
- TSH level and other thyroid blood tests
- Thyroid ultrasound
- Thyroid scan
- Fine needle aspiration biopsy
When to seek urgent medical care?
- Call your health care provider if you feel or see a lump in your neck, or if you experience any symptoms of a thyroid nodule.
- If you have been exposed to radiation in the face or neck area, call your health care provider. A neck ultrasound can be done to look for thyroid nodules.
Treatment options
(a) Health care provider may recommend surgery to remove all or part of your thyroid gland if the nodule is:
- Believed to be making too much thyroid hormone
- Causing symptoms such as swallowing or breathing problems
- Due to thyroid cancer
- Not able to be diagnosed as cancer or not cancer
(b) Patients with nodules that are making too much thyroid hormone may be treated with radioactive iodine. This treatment reduces the size and activity of the nodule. Pregnant women should not be given this treatment.
(c) Both surgery to remove thyroid gland tissue and radioactive iodine treatment carry risks of long-term thyroid problems.
(d) For non-cancerous nodules that do not cause symptoms and are not growing, the best treatment may be:
- Careful follow-up with a physical exam and ultrasound
- A thyroid biopsy repeated 6 - 12 months after diagnosis, especially if the nodule has grown
- Another possible treatment is ethanol (alcohol) injection into the nodule to shrink it.
Where to find medical care for thyroid nodule?
Directions to Hospitals Treating Thyroid nodule
What to expect (Outlook/Prognosis)?
Non-cancerous thyroid nodules are not life threatening. Many do not require treatment. Follow-up exams are enough.
The outlook for thyroid cancer depends on the type of cancer.
Sources
http://www.nlm.nih.gov/medlineplus/ency/article/007265.htm