Thyroid nodule history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The most important aspects in obtaining a history on a patient presented with thyroid nodule nodule include: The presence of associated symptoms, change in nodule size, previous head or neck radiation exposure, childhood [[irradiation]] associated with high risk of [[malignancy]], [[family history]], history of [[neck pain]], sudden increase in the size of a neck lump, and progressive voice change or [[hoarseness]]. The symptoms associated to thyroid nodule include: [[Dysphagia]] or anterior neck discomfort, [[Hoarseness]], localized pain in the neck, [[Shortness of breath]], and prolonged [[cough]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
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* A change in nodule size | * A change in nodule size | ||
* Previous head or neck radiation exposure | * Previous head or neck radiation exposure | ||
** Childhood irradiation associated with high risk of malignancy | ** Childhood [[irradiation]] associated with high risk of [[malignancy]] | ||
* Family history | * [[Family history]] | ||
** Thyroid diseases | ** [[Thyroid diseases]] | ||
** Thyroid cancer syndromes | ** [[Thyroid cancer]] syndromes | ||
** Endocrine diseases (e.g. multiple endocrine neoplasia type 2 [MEN2], familial adenomatous polyposis, or Cowden syndrome) | ** [[Endocrine diseases]] (e.g. [[MEN, type 2|multiple endocrine neoplasia type 2 [MEN2]]], [[familial adenomatous polyposis]], or [[Cowden syndrome]]) | ||
* History of neck pain | * History of [[neck pain]] | ||
* Sudden increase in the size of a neck lump | * Sudden increase in the size of a neck lump | ||
** Raise the concern of malignancies and hemorrhagic thyroid cysts | ** Raise the concern of [[malignancies]] and hemorrhagic thyroid cysts | ||
* Progressive voice change or hoarseness | * Progressive voice change or [[hoarseness]] | ||
** May be associated with an invasive | ** May be associated with an [[Thyroid cancer|invasive thyroid carcinoma]] | ||
=== Common Symptoms === | === Common Symptoms === | ||
Revision as of 12:57, 19 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most important aspects in obtaining a history on a patient presented with thyroid nodule nodule include: The presence of associated symptoms, change in nodule size, previous head or neck radiation exposure, childhood irradiation associated with high risk of malignancy, family history, history of neck pain, sudden increase in the size of a neck lump, and progressive voice change or hoarseness. The symptoms associated to thyroid nodule include: Dysphagia or anterior neck discomfort, Hoarseness, localized pain in the neck, Shortness of breath, and prolonged cough.
History and Symptoms
History
Obtaining a detailed history is one of the important aspects of determining the best approach toward nodule management. It provides insight into possible cause, precipitating factors and associated comorbid conditions. Complete history may also helps in determining the prognosis. Specific histories about associated symptoms and their duration, onset, and progression have to be obtained. Specific areas of focus when obtaining the history, are outlined below:
- The presence of associated symptoms
- A change in nodule size
- Previous head or neck radiation exposure
- Childhood irradiation associated with high risk of malignancy
- Family history
- History of neck pain
- Sudden increase in the size of a neck lump
- Raise the concern of malignancies and hemorrhagic thyroid cysts
- Progressive voice change or hoarseness
- May be associated with an invasive thyroid carcinoma
Common Symptoms
- Dysphagia or anterior neck discomfort
- May indicate a malignant tumor
- Rarely seen in benign tumors
- Choking sensation
- Inability to lie flat
- Hoarseness
- Localized pain in the neck
- Shortness of breath
- Prolonged cough
Less Common Symptoms
- Palpitation
- Heat intolerance
- Weight loss
- Night sweats