Determining the Malignancy of a Thyroid Nodule: When Is Total Thyroidectomy Indicated?

摘要

A 53-year-old man presented to the practice after noticing what he described as a lump in his neck area. He had detected the mass to one side of his Adam's apple while shaving. It was not tender, nor had there ever been tenderness in the area. His current health was otherwise quite good, with no new complaints. Specifically, he had experienced no palpitations, sweating, unexplained weight loss, or fatigue. There had been no change in his appearance or eyes. He worked in a trucking business but had no industrial or other exposures.