Thyroid Carcinoma
Although thyroid nodules are relatively uncommon findings in the pediatric population, their detection requires careful and thorough evaluation. Several studies indicate that as many as one third of all nodules found may represent malignancies. While this incidence compares favorably with studies from the era of head and neck irradiation for tonsilar or thymic enlargement, when as many as 70% of thyroid nodules proved to be malignant, early detection of thyroid tumors remains an important responsibility of the pediatrician.
The thyroid should be carefully palpated to determine its size and consistency and to discover any evidence of additional nodules. In addition, cervical and axillary lymph nodes should be examined for evidence of enlargement or inflammation.
