Thyroid Nodules

Discharge Criteria

1. Stable in size and US characteristics
   1. For 5 years (TIRADS 3 or higher)
   2. TR 1 and TR 2 nodules typically do not require routine US follow up
2. TSH is not low
3. Benign biopsy (if meets indication for FNA)
4. No compressive symptoms
5. No familial papillary thyroid cancer

​​​​​​Resources: 

• Letter to primary care provider
• Letter to patient

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

References:  

1. Cancer Care Ontario. Differentiated Thyroid Cancer Diagnosis Pathway Map. Oct 2024 Update. https://www.cancercareontario.ca/en/pathway-maps/thyroid-cancer.  

2. Haugen et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016 Jan;26(1):1-133. doi: 10.1089/thy.2015.0020. PMID: 26462967; PMCID: PMC4739132.