In this section
Management of pediatric thyroid nodules
Signs and symptoms
- Palpable or incidentally identified thyroid nodule
- Most thyroid nodules are benign (adenomas or hyperplasia)
- Some may be cancerous: most often papillary thyroid carcinoma, less frequently follicular carcinoma or medullary carcinoma
Referring provider’s initial evaluation and management:
Diagnosis and Treatment
- Order TSH and T4 levels
- Send to CHW radiology for ultrasound evaluation
- Contact Lisa Hinke RN, Pediatric Endocrinology, for referral to Thyroid Nodule Group/initial endocrinology visit at (414)-266-2860
When to initiate referral/ consider refer to Thyroid Nodule Program
- At the time thyroid nodule or diffuse abnormality of thyroid is identified
What can referring provider send to Thyroid Nodule Program?
1. Using Epic
- Please complete the external referral order
In order to help triage our patients and maximize the visit, the following information would be helpful include with your referral order:
- Urgency of the referral
- What is the key question you would like answered?
Note: Our office will call to schedule the appointment with the patient.
2. Not using Epic external referral order:
- In order to help triage our patients maximize the visit time, please fax the above information to (414-607-5288)
- It would also be helpful to include:
- Chief complaint, onset, frequency
- Recent progress notes
- Labs and imaging results
- Other Diagnoses
- Office notes with medications tried/failed in the past and any lab work that may have been obtained regarding this patient’s problems.
Specialist’s workup will likely include:
- Review of ultrasound/other imaging to determine need for additional imaging or biopsy
- If nodule has suspicious ultrasonographic features, fine needle aspiration biopsy will be performed