Clinical Diagnostic Approach for Cases of Thyroid Nodules
![]() |
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03884140 |
Recruitment Status :
Not yet recruiting
First Posted : March 21, 2019
Last Update Posted : June 27, 2019
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease |
---|
Thyroid Nodule |
Thyroid nodule is a discrete lesion in the thyroid gland that is radiologically distinct from the surrounding thyroid parenchyma.
Thyroid nodules are a common presentation in the clinic, with an increasing incidence, especially in women. The detection rate among healthy individuals is as high as 50%-60%, but the reported incidence of malignant nodules in all thyroid nodules has ranged from only 1.6%-12%.
They are discovered either clinically on self-palpation by a patient, or during a physical examination by the clinician or incidentally during a radiologic procedure such as ultrasonography (US) imaging, computed tomography (CT) or magnetic resonance imaging (MRI) of the neck; with the increased use of sensitive imaging techniques, thyroid nodules are being diagnosed incidentally with increasing frequency in the recent years.
Though thyroid nodules are common, their clinical significance is mainly related to excluding malignancy (4.0 to 6.5% of all thyroid nodules), evaluating their functional status and if they cause pressure symptoms.
Thyroid nodules can be caused by many disorders:
Benign (colloid nodule, Hashimoto's thyroiditis, simple or hemorrhagic cyst, follicular adenoma and subacute thyroiditis) and malignant (Papillary Cancer, Follicular Cancer, Hurthle Cell Cancer, Anaplastic Cancer, Medullary Cancer, Thyroid Lymphoma and metastases).
Initial assessment of a patient found to have a thyroid nodule either clinically or incidentally should include a detailed and relevant history plus physical examination. Laboratory tests should begin with measurement of serum thyroid-stimulating hormone (TSH). Thyroid scintigraphy/radionuclide thyroid scan should be performed in patients presenting with a low serum TSH.
Thyroid ultrasound should be performed in all those suspected or known to have a nodule to confirm the presence of a nodule, evaluate for additional nodules and cervical lymph nodes and assess for suspicious sonographic features.
The next step in the evaluation of a thyroid nodule is a fine needle aspiration (FNA) biopsy, which is the gold standard diagnostic test.
Study Type : | Observational [Patient Registry] |
Estimated Enrollment : | 1 participants |
Observational Model: | Case-Crossover |
Time Perspective: | Cross-Sectional |
Target Follow-Up Duration: | 6 Months |
Official Title: | Clinical Diagnostic Evaluation of Thyroid Nodules |
Estimated Study Start Date : | September 1, 2019 |
Estimated Primary Completion Date : | June 1, 2022 |
Estimated Study Completion Date : | September 1, 2022 |

- correlation between clinical presentation and the results of diagnostic tools to reach to proper evaluation of thyroid nodules. [ Time Frame: baseline ]develop a rational, cost-effective approach to ordering and interpreting imaging and diagnostic tests in the evaluation of the thyroid nodule.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 75 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Sampling Method: | Probability Sample |
Inclusion Criteria:
- all patient presented by thyroid nodules either discovered clinically or incidentally.
Exclusion Criteria:
- no
Publications:
Responsible Party: | amira hassan abd el Aziz, Assistant Lecturer, Assiut University |
ClinicalTrials.gov Identifier: | NCT03884140 |
Other Study ID Numbers: |
thyroid nodules |
First Posted: | March 21, 2019 Key Record Dates |
Last Update Posted: | June 27, 2019 |
Last Verified: | June 2019 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Thyroid nodules T.S.H Thyroid US FNAC |
Thyroid Nodule Thyroid Diseases Endocrine System Diseases Thyroid Neoplasms |
Endocrine Gland Neoplasms Neoplasms by Site Neoplasms Head and Neck Neoplasms |