Thyroid Nodule Clinic

Thyroid nodules are solid or fluid-filled lumps that form within your thyroid, a small gland located at the base of your neck, just above your breastbone. The great majority of thyroid nodules aren't serious and don't cause symptoms. About half of the adult population has one or more thyroid nodules. 90 to 95% of these nodules are benign (non-cancerous) and the rest are cancerous. However, thyroid cancer accounts for only a small percentage of thyroid nodules.

You often won't know you have a thyroid nodule until your doctor discovers it during a routine medical exam. Some thyroid nodules, however, may become large enough to be visible or make it difficult to swallow or breathe, or lead to hoarseness. In some cases, thyroid nodules produce additional thyroxine, a hormone secreted by your thyroid gland. The extra thyroxine can cause symptoms of hyperthyroidism such as:

  • Unexplained weight loss
  • Intolerance to heat
  • Tremor
  • Nervousness
  • Rapid or irregular heartbeat

Treatment options depend on the type of thyroid nodule you have.

When to see a doctor about your thyroid nodule

Although most thyroid nodules are noncancerous (benign) and don't cause problems, ask your doctor to evaluate any unusual swelling in your neck, especially if you have trouble breathing or swallowing. It's important to evaluate the possibility of cancer.
Also seek medical care if you develop signs and symptoms of hyperthyroidism, such as:

  • Sudden weight loss even though your appetite is normal or has increased
  • A pounding heart
  • Trouble sleeping
  • Muscle weakness
  • Nervousness or irritability

Thyroid Nodule Clinic — A multi-disciplinary approach

At Sinai Hospital of Baltimore, we are pleased to have the Sinai Thyroid Nodule Clinic (TNC) , which offers comprehensive care by a world-class multidisciplinary team including endocrinologists, surgeons and cytopathologists. The TNC team works together to provide accurate and efficient evaluations of thyroid nodules and ensure the best treatment plan for each patient. The mission of the TNC is to offer our patients the highest quality in care and expertise in the distinction of cancerous from non-cancerous thyroid nodules. 

One of our main goals is to streamline this evaluation and provide a coordinated approach that meets the needs of patients with thyroid nodules. Our TNC provides a 1-stop thyroid nodule evaluation that includes a focused clinical assessment, ultrasound evaluation, and FNA — all typically performed within a 60-minute appointment at a single visit.

The ultrasound allows our team of endocrinologists and surgeons to select both palpable and impalpable nodules for biopsy and target the most suspicious nodule, which is not always the largest nodule. Using ultrasound guidance for those biopsies, our team typically perform more than 600 biopsies per year and expect a clear diagnosis in more that 95% of cases at the first attempt. Because of the coordinated assessment provided through the TNC, FNA results are typically available within 2 hours, so the patient usually receives a definitive result of the entire assessment within 4 hours. Patients with a benign nodule can be reassured, and those with a malignant or suspicious nodule can be offered an appropriate surgical referral on the same day!.

We believe that the Thyroid Nodule Clinic improves the care that we provide for our patients, while lowering costs, improving efficiency, and providing a better service to our referring physicians.

Meet the Specialists at the Thyroid Nodule Clinic

To schedule an appointment, call: 410-601-5961

Sinai Hospital of Baltimore
Hoffberger Building
2435 W. Belvedere Ave.
Suite 46
Baltimore, Maryland 21215-5271