Thyroid Neoplasia

This condition is treated in the Endocrinology clinic.

Pre-referral work-up

History

This is a diagnostic and co-ordination clinic that ensures cross-disciplinary case co-ordination of patients with clinical concern of malignancy, malignancy and follow up of care.

This clinic accepts referrals for the investigation, management and long-term follow-up of patients with malignant thyroid disease. Conditions managed include papillary thyroid cancer, follicular thyroid cancer, medullary thyroid cancer and long-term follow-up of thyroid cancer patient including management of I¹³¹ ablation planning and TSH stimulated imaging.

Referrals accepted from state-wide.

All referrals should comply to the referral standards and also include:

• Onset of symptoms
• Diagnosis and investigations leading to this diagnosis
• Current and past medications
• Current and past thyroid related treatments including surgery
• Description of thyroid including size, nodularity, recent changes
• Local symptoms such as voice changes, pressure symptoms, obstruction

Tests

• TSH, T4
• Thyroid antibodies
• Consider thyroid ultrasound and FNA of solitary or suspicious nodules

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

Obtaining nuclear medicine studies and biopsies can be facilitated by clinic and so obtaining these should not delay referral. If clinically concerned or uncertain of degree of urgency please phone the Endocrinology Registrar or Consultant in charge to discuss prior to referral.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Urgent (Category 1)

? Proven thyroid cancer

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Availability

North

John Morris Diabetes Centre
Northern Integrated Care Centre

Phone: 6777 4145
Fax: 6777 5247

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928

Diabetes Centre
North West Regional Hospital
Phone: 6493 6100
Fax: 6431 8061

Diabetes Clinic
Devonport Community Health Centre
Phone: 6493 6100
Fax: 6441 5946

Paediatric
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

South

Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982