What Is a Thyroid Nodule?

A thyroid nodule is a lump or growth within the thyroid gland. They are extremely common.

Key Facts

  • 50% of people have nodules by age 60
  • 90–95% are benign
  • 5–10% may be cancerous
  • More common in women
  • Often found incidentally on imaging

Evaluation

  • TSH blood test
  • Thyroid ultrasound (assess size, features)
  • FNA (fine needle aspiration) biopsy if suspicious
  • Radionuclide scan if TSH is low

Risk Factors for Cancer

  • Radiation exposure to neck in childhood
  • Family history of thyroid cancer
  • Hard, fixed nodule
  • Rapid growth
  • Hoarseness (nerve involvement)
  • Lymph node enlargement
Source: American Thyroid Association, NLM MedlinePlus.

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