Thyroid Program

If you have nodules within the thyroid gland, you will be initially referred to the endocrinology team for further evaluation.

The initial tests that are generally ordered include a thyroid ultrasound and thyroid function tests.

After review of the imaging and lab results, as well as an in-depth discussion of your past medical and family history, the endocrinologist will determine whether the patient needs an ultrasound-guided fine needle aspiration biopsy. These are typically performed in the endocrinologist’s office.

  • If the results are benign (noncancerous), serial ultrasounds are often used to monitor for further growth of the nodules.
  • If nodules are malignant (cancerous), you will be referred to a surgeon for removal of the tumor.
  • If the nodules are indeterminate, there will be further evaluation by the endocrinologist. In some cases, we can use advanced genetic testing of our biopsies to help with decision-making.

There are also other conditions of the thyroid gland that require further evaluation and possible surgical intervention, such as:

  • enlarged thyroid gland causing compressive symptoms or disfigurement
  • overactive thyroid glands that cannot be controlled with medication or radiation therapy.

The Thyroid Cancer Conference

Each of our patients is discussed at our monthly Thyroid Cancer Conference, where our team of specialists meets to review all patients who have been newly diagnosed with thyroid cancer.

This is an opportunity for radiologists to review imaging, pathologists to present biopsy results and for our clinical team to discuss the best treatment options.

Treatment plans are custom designed for each patient, based on the latest guidelines from the American Thyroid Association and the National Cancer Care Network.

Depending on the results of these discussions, patients may require surgical intervention by one of our expert surgeons