Thyroid nodule (patient information)
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Thyroid nodule |
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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.