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Patients should be educated to recognize and report symptoms potentially indicating thyroid tumors: Neck mass or swelling Persistent hoarseness or voice changes Difficulty swallowing (dysphagia) Difficulty breathing or persistent cough Neck pain or discomfort Any thyroid nodule discovered during treatment should prompt appropriate evaluation according to American Thyroid Association guidelines, which may include thyroid ultrasound and potential fine-needle aspiration biopsy based on nodule size and sonographic features