Approach to the Lumpy Thyroid Katherine A. Kovacs, MD MSc FRCPC. Setting of Thyroid Nodule Discovery. Routine neck palpation by physician Self-examination by patient Incidental finding during radiological procedure. Clinical Relevance of Nodule Discovery. Potential malignancy
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Simple or hemorrhagic cyst
Follicular cell-derived carcinoma
indication for radioisotope scan (hot nodule, especially by I123, almost always benign)
higher risk of malignancy