Clinical Findings Suspicious for Thyroid Carcinoma in a Euthyroid Patient with a Solitary Thyroid Nodule

Description

Hegedus listed several clinical findings which are suspicious for thyroid carcinoma in a euthyroid patient with a solitary thyroid nodule. These can help identify a patient who may benefit from a more complete evaluation. The author is from Odense University Hospital in Denmark.

Clinical Finding	Level of Risk
age of the patient < 20 or > 70 years of age	moderate
male gender	moderate
family history of medullary thyroid carcinoma	high
family history of an MEN syndrome	high
history of neck irradiation	moderate
presence of dysphagia, dysphonia, hoarseness, dyspnea and/or cough	moderate
paralysis of the vocal cords	high
rapid nodule growth, especially during levothyroxine therapy	high
nodule > 4 cm in diameter	moderate
nodule that is partially cystic	moderate
nodule that is very hard or firm	high
nodule fixated to adjacent structures	high
regional lymphadenopathy	high
distant metastases	very high

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Clinical Findings Suspicious for Thyroid Carcinoma in a Euthyroid Patient with a Solitary Thyroid Nodule

Description

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