• Screening for Thyroid Cancer

    Screening is a way to evaluate people without symptoms to determine if they are at risk for cancer or have already developed cancer.
    Screening involves:
    • Assessing your medical history and lifestyle habits that may increase or decrease your risk of thyroid cancer
    • Testing to identify early signs of thyroid cancer

    Screening Guidelines

    According to the US Preventive Services Task Force, there are no official screening guidelines for thyroid cancer. Testing is only recommended for people who are experiencing symptoms suggestive of thyroid cancer.
    According to the American Cancer Society, all people between the ages of 21 and 40 should have their neck, lymph nodes, and the area directly over their thyroid gland examined (palpated) every year.
    There are some healthcare providers who think that people with a higher-than-normal risk of thyroid cancer should be periodically screened. Factors that lead to a higher-than-normal risk include the following:
    • A history of exposure to radiation
    • Family members with either multiple endocrine neoplasia (MEN) associated thyroid cancer or non-MEN associated thyroid cancer
    If you fit one of these categories, you may be advised to have your blood calcitonin levels measured periodically, as well as undergo annual neck and thyroid palpation.
    If members of your family have a genetic defect (a change or mutation in the RET gene) that increases the risk of medullary thyroid cancer, you should strongly consider having genetic testing done to determine your personal risk and the risk of transmitting this gene to your children. The screening blood tests include: calcitonin and RET proto-oncogene. This type of cancer may arise during childhood and at a very young age. Thus families may wish to openly discuss the risks and benefits of genetic testing to determine the frequency of screening among members.


    Baudin E, Schlumberger M. New therapeutic approaches for metastatic thyroid carcinoma. Lancet Oncol. 2007;8:148-156.

    Cooper DS, Doherty GM, et al. The American Thyroid Association Guidelines Taskforce: management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2006;16:1-33.

    Cornett WR, Sharma AK, et al. Anaplastic thyroid carcinoma: an overview. Curr Oncol Rep. 2007;9:152-158.

    Rachmiel M, Charron M, et al. Evidence-based review of treatment and follow up of pediatric patients with differentiated thyroid carcinoma. J Pediatr Endocrinol Metab. 2006;19:1377-1393.

    Report of the US Preventive Services Task Force: Screening for thyroid cancer. Agency for Healthcare Research and Quality website. Available at: http://www.ahrq.gov/clinic/uspstf/uspsthca.htm.

    Thyroid carcinoma. In: Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders; 2000: 1247-1250.

    What is thyroid cancer? American Cancer Society website. Available at http://www.cancer.org/docroot/CRI/CRI%5F2%5F3x.asp?dt=43. Accessed December 10, 2002.

    What you need to know about cancer of the thyroid. National Cancer Institute website. Available at http://cancer.gov. Accessed December 10, 2002.

    Revision Information

  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.