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Thyroid Nodules

Thyroid nodules are lumps that form within the thyroid gland. They are very common and are usually benign, but they need proper assessment to rule out rarer causes and to check thyroid function. Dr Kasi Subbiah provides thorough evaluation and clear guidance for patients with thyroid nodules.

When assessment matters

  • A nodule found on examination or scan
  • Symptoms such as neck swelling, discomfort, or difficulty swallowing
  • Changes in thyroid hormone levels
  • Family history of thyroid disease

What we offer

  • Clinical assessment and thyroid function testing
  • Referral for ultrasound and, where needed, fine needle biopsy
  • Clear explanation of results and next steps

Ultrasound and biopsy assessment

Thyroid blood tests assess how the gland functions, while ultrasound assesses structure and risk features. Ultrasound describes a nodule’s size, composition, margins, shape, calcification and relevant lymph nodes. Imaging can be arranged through Endocrine Consult when clinically appropriate or coordinated with a suitable local provider. Some nodules require ultrasound-guided fine-needle aspiration. The decision uses ultrasound grade, nodule size and clinical context rather than size alone. Most thyroid nodules are benign, and many need no biopsy or treatment.

Monitoring and when to seek advice

Follow-up depends on symptoms, ultrasound and cytology findings, growth and individual risk. New hoarseness, rapid enlargement, worsening swallowing or breathing difficulty, or new neck nodes should prompt timely clinical assessment rather than waiting for routine surveillance.

UK-wide video review

Video consultation is suitable for reviewing scan and biopsy reports, thyroid results and next steps. Physical neck examination, ultrasound and biopsy must be completed locally or in person.

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