Shawn Ciecko MD ,Otolaryngologist, Medical School at University of Buffalo, resident in Otolaryngology, head and Neck Surgery at the Duke University Medical Center and ENTandAllergy Associate.
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Interviewer: If you saw a nodule around the goiter, would it be something you’ll be looking for and say this is more likely to be a cancer and less likely to be a cancer? What would be the characteristics? Dr. Shawn Ciecko: There are a few characteristics which make nodules more suspicious. One is the size alone. Some nodules can become very large—3, 4 centimeter nodules and sometimes those a little more concerning for malignancy. The ultrasound characteristics again speaking of hypoapogenecity, irregular borders, microcalicifications and hypervascularity which are terms that we use to characterize module, those make us slightly more suspicious of a nodule. Also people who present with a nodule that have hoarseness or vocal chord paralysis when the voice box is not working correctly make us more suspicious for a malignancy,

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