Clinical Case Database / Category: Case Based Discussion

Management of a thyroid nodule

Publication details

Sandeep Mistry MBChB BSc(hons)
Foundation Years Journal, volume 2, issue 7, p.313 (123Doc Education, London, September 2008)

Abstract

A 56-year-old non-smoker presented with a 2-year history of a swelling in the front of the lower part of her neck. The swelling was of an insidious onset with no significant increase in size and there was no associated discomfort reported. However, occasional pressure symptoms were noted as well as a “feeling of something” in her throat. There had been no weight loss recorded. On examination, she was found to have a 4×3 cm swelling which seemed to be localised to the isthmus and adjacent part of the left thyroid lobe. This classically moved upwards upon swallowing. There was no associated lymphadenopathy. Initial clinical evaluation suggested the swelling to be a thyroid nodule.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

ProductPriceSubscription
Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart

Authors

Sandeep Mistry MBChB BSc(hons) (Corresponding author)

Foundation Year 2 in Otolaryngology
North Manchester General Hospital
Manchester
M8 5RB
United Kingdom

References

1. British Thyroid Association, Royal College of Physicians. Guidelines for the management of thyroid cancer (Perros P, ed) 2nd edn. Report of the Thyroid Cancer Guidelines Update Group. London: Royal College of Physicians, 2007.
2. Dankle SK. Thyroid nodule, 2007, Available at URL http://www.emedicine.com/med/topic3224.htm Accessed 29 August 2008.
3. National Institute of Clinical Excellence. Guidance on cancer services: Improving outcomes in head and neck cancers – the manual. NICE, 2004, Available at URL http://www.nice.org.uk/guidance/index.jsp?action=byID&o=10897 Accessed 24 August 2008.
4. Draper MR, Pfleiderer AG, Smith W. Assessment of a cytology grading system for head and neck masses. Clin. Otolaryngol, 2003, 28:34–38.
5. Feld S, Garcia M. AACE/AME Guidelines: American Association of Clinical Endocrinologists and Associazione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules. American Association of Clinical Endocrinologists, Available at URL http://www.aace.com/pub/pdf/guidelines/thyroid_nodules.pdf Accessed 24 August 2008.
6. Hebra A, Miller M. Solitary thyroid nodule. 2006, Available at URL http://www.emedicine.com/PED/topic2120.htm Accessed 29 August 2008.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.