Question 1

what treatment for a complex thyroid nodule?

Accepted Answer

Nodule: If you have a complex thyroid nodule that meets certain criteria a thyroid nodule biopsy under ultrasound could be preformed.  It is a simple procedure done with local anesthetic.  Most thyroid modules are overwhelmingly benign.   If positive additional studies and likely removal of that lone of the thyroid.

Question 2

what are causes of pain in 3cm solitary benign thyroid nodule? and treatment?

Accepted Answer

Bleeding in nodule: Solitary nodules usually require needle biopsy.  Most are benign and asymptomatic.  I assume yours was diagnosed with a needle biopsy.  Rarely there can be spontaneous bleeding into a cystic nodule, which can cause pain and is usually harmless.

Question 3

i have a thyroid nodule but the ultra sound said it was small  and no need for further treatment. why do i still feel like i am chocking?

Accepted Answer

Must b another cause: Choking sensation in the throat can be due to something other than an abnormality in the thyroid.  Because the anatomy in that area includes the vocal cords, the trachea, esophagus, epiglottis; abnormalities in any of these other areas may cause a choking sensation.  See doc. Common cause is swelling of the larynx or vocal cord from acid reflux which is treated with a trial of an acid reducer med.

Question 4

what treatment do you think i will have for a 4.7 cm x 2.7 cm thyroid nodule. heterogenous with mixed solid and cystic areas, hyperechoic. wider than tall mostly smooth with i'll defined areas. suggestion of compression of the adjacent trachea?

Accepted Answer

: You give more info with this question and this explain why CT of the neck has been ordered. However, my answer is the same, the nodule is likely benign but fine needle biopsy will be the next step. Take care.

Question 5

what is a hypoechoic thyroid nodule exactly?

Accepted Answer

Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us).  It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it.  While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers.  But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules.

Question 6

single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

Accepted Answer

Needs FNA: Most nodules of the thyroid are benign.  However, fine needle aspiration (FNA) biopsy of a nodule is indicated in your age group for nodules over 1 cm in size.  Having increased vascularity raises the index of suspicion slightly.  You should have thyroid function (free T4, TSH) checked prior to biopsy.

Question 7

presence of hypoechoic area in hyperechoic thyroid nodule.. what it indicates? nodule has increased vascularity

Accepted Answer

Uncertain: There are various characteristics of thyroid nodules on ultrasound, including hyperechoic, hypoechoic, isoechoic, cystic, complex, vascular, calcified, microcalcifications.  Unfortunately, none of them can tell you for sure whether the nodule is benign or malignant.  In your age group, we would be recommending biopsy of the nodule if it is 1 cm in size or larger.

Question 8

what may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

Accepted Answer

Inflammation : A hypoechoic nodule could compress normal tissue and vessels .  Inflammation around nodule might also increase flow.

Question 9

in todays us hypervascular thyroid nodule 9x8mm which is hypoechoic and internal vascularity remained the same as 2 months ago. they told me that they keep checking it for 2 years. it can be something during this time? after 2 years it will be safe?

Accepted Answer

: They do serial ultrasounds when the nodule is this small to see if it begins growing. If it begins growing, they can then biopsy it. But, if it never grows, after 2 years, by definition, it would be benign (malignant tumors begin growing in that time). Typically, they do the ultrasounds fairly frequently and then begin spacing them out a bit if there is no growth. Hopefully, it will prove benign!

Question 10

i have 2 thyroid nodules and 1 is hypoechoic and the other complex should i worry?

Accepted Answer

Depends: Hypoechoic, hypervascular, or calcifications on ultrasound need to be addressed particularly if the nodule is &gt; 10mm. The solid component of a complex nodule can be benign or cancer. Typically a nodule greater than 10mm should be biopsied by ultrasound or smaller if there are calcifications or prior history of radiation or family hist. There is no ultrasound pattern that is diagnostic for cancer.

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Doctor answers about:

Hypoechoic thyroid nodule treatment

A member asked:

What treatment for a complex thyroid nodule?

A member asked:

What are causes of pain in 3cm solitary benign thyroid nodule? and treatment?

A member asked:

I have a thyroid nodule but the ultra sound said it was small and no need for further treatment. why do i still feel like i am chocking?

A member asked:

What treatment do you think i will have for a 4.7 cm x 2.7 cm thyroid nodule. heterogenous with mixed solid and cystic areas, hyperechoic. wider than tall mostly smooth with i'll defined areas. suggestion of compression of the adjacent trachea?

A member asked:

What is a hypoechoic thyroid nodule exactly?

A member asked:

Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

A member asked:

Presence of hypoechoic area in hyperechoic thyroid nodule.. what it indicates? nodule has increased vascularity

A member asked:

What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

A member asked:

In todays us hypervascular thyroid nodule 9x8mm which is hypoechoic and internal vascularity remained the same as 2 months ago. they told me that they keep checking it for 2 years. it can be something during this time? after 2 years it will be safe?

A member asked:

I have 2 thyroid nodules and 1 is hypoechoic and the other complex should i worry?

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