Pediatric thyroid nodules

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Updated by: Dr. Lauren Parsons
Updated on: 6/2017


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, call (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