How are childhood thyroid nodules discovered: opportunities for improving early detection.

@article{Gupta2014HowAC,
  title={How are childhood thyroid nodules discovered: opportunities for improving early detection.},
  author={Anjuli Gupta and Samantha Ly and Luciana Audi Castroneves and Mary C Frates and Carol B. Benson and Henry A. Feldman and Ari J Wassner and Jessica R. Smith and Ellen Marqusee and Erik Karl Alexander and Justine A Barletta and Funmilayo Muyide and Peter M. Doubilet and Hope E Peters and Susan Webb and Biren P Modi and Harriet J. Paltiel and Yolanda Martins and Kelly R Burmeister and Harry P. W. Kozakewich and Monica L. Hollowell and Edmund S Cibas and Francis D. Moore and Robert Cooper Shamberger and P. R. Larsen and Stephen A. Huang},
  journal={The Journal of pediatrics},
  year={2014},
  volume={164 3},
  pages={658-60}
}
In a retrospective analysis of childhood thyroid nodules, 18% were radiographic incidentalomas and 41% were discovered by a clinician's palpation; 40% were discovered by patients' families. The latter group had the largest nodules and highest rates of thyroid cancer metastasis, suggesting opportunities for earlier detection through annual well-child visits.