Direct to an appropriate emergency department for:
- Thyroid mass with difficulty in breathing or with bleeding from the nodule.
Criteria for referral to public hospital specialist clinic services
- Suspected or confirmed malignancy
- Compressive symptoms:
- changing voice
- difficulty in breathing
- suspicious dominant nodules or compressive neck nodes.
- Generalised thyroid enlargement without compressive symptoms
- Recurrent thyroid cysts
- An increase in the size of previously identified benign thyroid lumps > 1cm in diameter.
Information to be included in the referral
Information that must be provided:
- Ultrasound with, or without, fine needle aspiration results
- Thyroid stimulating hormone (TSH) and free thyroxine (T4) results.
Provide if available:
The Summary and referral information lists the information that should be included in a referral request.
Where appropriate and available the referral may be directed to an alternative specialist clinic or service.
Referral to a public hospital is not appropriate for
- Non-bacterial thyroiditis
- Uniform, enlarged gland suggestive of thyroiditis without other symptoms.