Thyroid nodules

Question 1

Benign

Answer 1

Multiodular goitre

Thyroid adenoma

Hashimoto’s thyroiditis

Cyst (colloid, simple, haemorrhagic)

Question 2

Malignant

Answer 2

Papillary carcinoma (most common)

Follicular carcinoma

Medually carcinoma

Anaplastic carcinoma

Lymphoma

Question 3

Investigation

Answer 3

TFT

Ultrasonography first line to determine if features suspicious of malignancy

Question 4

Thyroglossal cyst

Answer 4

Thyroglossal duct normally atrophies but in some people may persist and give rise to thyroglossal duct cyst

Usually midline

Moves upwards with protrusion of the tongue

May be painful if infected