Dr. Kenton Bruice MD

Thyroid Health

Thyroid Nodules — Evaluation & Management in Denver

Thyroid nodules are extremely common — found in up to 65% of the population on ultrasound. Most are benign. Dr. Bruice evaluates nodule characteristics and coordinates appropriate follow-up.

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Common Signs & Symptoms

  • !Palpable lump in the neck
  • !Pressure or difficulty swallowing
  • !Voice changes (if large)
  • !Often asymptomatic — found on imaging incidentally

What Causes This?

  • Iodine deficiency
  • Hashimoto's thyroiditis
  • Multinodular goiter
  • Radiation exposure
  • Family history of thyroid cancer

Treatment Approaches

Thyroid Ultrasound

Characterizes nodule size, echogenicity, and features that suggest benign vs. suspicious.

Fine Needle Aspiration (FNA)

For nodules over 1cm with suspicious features — referred to appropriate specialist.

TSH Suppression Monitoring

Ensuring thyroid medication doesn't excessively suppress TSH, which can stimulate nodule growth.

Frequently Asked Questions

Should I worry about a thyroid nodule?

Most nodules are benign. The key is proper characterization with ultrasound and selective biopsy of suspicious features.

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Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

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