Thyroid Nodules (TN) are the most common endocrine disorder worldwide. Etiology and pathogenesis of thyroid benign and malignant nodules (TBN and TMN, respectively) are still not enough understood. The present study was performed to clarify the role of some Chemical Elements (ChEs) in the origination and development of TN. Contents of ChEs such as Calcium (Ca), Chlorine (Cl), Iodine (I), Potassium (K), Magnesium (Mg), Manganese (Mn), and Sodium (Na) were prospectively evaluated in thyroid tissue adjacent to TBN (79 patients) and to TMN (41 patients). Measurements were performed using non-destructive instrumental neutron activation analysis with high resolution spectrometry of short-lived radionuclides. Results of the study were additionally compared with previously obtained data for the same ChEs in "normal" thyroid tissue. I was observed that in thyroid tissue adjacent to TMN the mass fraction of I was 1.47 time higher while mass fractions Cl and Na were 42% and 29%, respectively, lower than in thyroid tissue adjacent to TBN. The common characteristics of thyroid tissue adjacent to TBN and TMN were contents of Ca, K, Mg, and Mn similar to normal levels, as well as elevated levels of Cl, I, and Na, which overdrew those in "normal" thyroid approximately in 2.2, 1.4, and 1.4 times, respectively. It was concluded that role of ChEs in etiology and pathogenesis of TBN and TMN is similar and exessive accumulation of Cl and I in thyroid tissue may be involved in the TN origination and development.