The presence of a painless lump or nodule on the thyroid gland, along with complaints of persistent hoarseness and trouble swallowing, should raise the suggestion of

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Signs of cancer include palpation of a hard, painless lump or nodule on the thyroid gland; vocal cord paralysis; obstructive symptoms; and cervical lymphadenopathy. Some patients exhibit dysphagia or hoarseness resulting from compression of the upper aerodigestive tract. The most important prognostic factors are age at diagnosis, size of the primary tumor, and the presence of tissue invasion or metastases.

The Presence of a Painless Lump or Nodule on the Thyroid