A thyroid nodule is a growth (lump) in the thyroid gland. The thyroid gland is located at the base of the neck.
Thyroid tumor; Thyroid adenoma; Thyroid carcinoma; Thyroid incidentaloma
Causes, incidence, and risk factors
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
Thyroid nodules are more common in women than in men. A person’s chance of getting a thyroid nodule increases with age.
Only a few thyroid nodules are due to
- Have a hard nodule
- Have a nodule that is stuck to nearby structures
- Have a family history of thyroid cancer
- Have a hoarse voice
Are younger than 20 or older than 70
- Have a history of radiation exposure to the head or neck
- Are male
Causes of thyroid nodules are not always found, but can include:
- Lack of iron in the diet
Most thyroid nodules do not cause symptoms.
Large nodules can press against other structures in the neck, causing symptoms such as:
Goiteror an enlarged thyroid gland or lump(s) in the neck Hoarseness or changing voice
- Pain in the neck
- Problems swallowing
Nodules that produce thyroid hormones will likely cause symptoms of
- Clammy skin
Skin blushing or flushing
Thyroid nodules are sometimes found in people who have Hashimoto’s disease, which may cause symptoms of an underactive thyroid gland, such as:
- Hair loss
Intolerance to cold Weight gain without trying
Signs and tests
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 leveland other thyroid blood tests Thyroid ultrasound Thyroid scan Fine needle aspiration biopsy
Your health care provider may recommend
- 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
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.
Both surgery to remove thyroid gland tissue and radioactive iodine treatment carry risks of long-term thyroid problems.
For noncancerous 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.
Noncancerous 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.
Calling your health care provider
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.
Related:Thyroid gland removal – discharge, Medullary carcinoma of thyroid, Multiple endocrine neoplasia (MEN) II, Thyroid cancer, Chronic thyroiditis (Hashimoto’s disease), Laryngeal nerve damage, Thyroid gland removal