Question 1

can isoechoic thyroid nodule of 7mm  be diagnosed by fnac test?

Accepted Answer

Yes: Yes image guided fine needle aspiration cytology will give diagnosis , a low risk out patient procedure.

Question 2

what is a innocuous and isoechoic thyroid nodule.

also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?

Accepted Answer

Probably benign: Depends on the appearance on ultrasound and also on lab and clinical parameters. Usually don't biopsy this size lesion without some other indication that there's a problem, but it should definitely be followed-up over time with repeat exams.

Question 3

311116 mm solid, isoechoic thyroid nodule with hypoechoic thin halo, fna biopsy says atypical cells of uncertain significance surgery or wait 3 mo.?

Accepted Answer

Surgery or 3 months: Atypical cells are of concern and you will worry if you wait 3 months. It would be best if you had the surgery and began treatment with thyroid medications.
What has your doctor discussed this with you?

Please let me know how things go.

Question 4

1.7 cm thyroid "isoechoic solid nodule" mid-lobe.  2 fnas both came back non-diagnostic. told next step is my choice.  should i have the lobe removed?

Accepted Answer

Depends: Thyroid nodules are very common.  About 70% of the population has a nodule (many don't know it).  About 5% of nodules are cancerous, which is why we care. Unless there were concerning characteristics on the ultrasound like microcalcifications, taller than wide or increased blood flow or you have a family history or radiation exposure, it may be ok to follow-up with annual ultrasounds.

Question 5

thyroid nodule 33.7x24x24 isoechoic and well defined, solid with significant nodule vascularity. affirma test says benign. should i remove to be sure?

Accepted Answer

Hmm.: The newer affirma test should bring your risk of thyroid cancer down to 5%, but this is a larger nodule with vascularity and it isn't unreasonable to get it out.  It would be definitive for diagnosis, especially if you don't want to follow it long term.  Totally up to you and your c.

Question 6

i have a right thyroid nodule that is well-circumscribed isoechoic solid nodule with a thin hypoechoic halo and small cystic space 1.71x1.53x1.19cm volume:1.6cc previous was 1.05x1.05x0.78cm vol:0.45cc after 3 yrs. is this high chance of malignant?

Accepted Answer

: Calculating probability of cancer can be done but we (and your Drs) need to know your family history, if you grew up/live in an endemic goiter part of world, are eating enough iodine, past biopsy results if any results of your radioactive scan.  Get back when you know these things. You are young to have ca unless it runs in your family.  Do thyroid family tree.  Apple does not fall far from tree.

Question 7

is it poss. cancer? us results thyroid nodule:  solid, heterogeneous &  isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. vascularity

Accepted Answer

Suspicious: You should be guided by an endocrinologist as to further testing which will include a fna biopsy. Sometimes it is just best to remove a solid nodule of this large size.

Question 8

can thyroid nodules shrink?

Accepted Answer

Yes.: Most thyroid nodules remain stable over many years.  Some can increase in size and some can decrease.  It depends on the composition of the nodule.

Question 9

medicine for thyroid nodule?

Accepted Answer

Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive  i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c).

Question 10

what can thyroid nodules mean?

Accepted Answer

Depends: Thyroid nodules are very common in the population, especially in women.  Most are benign.  Biopsy is indicated if they are larger than 1 cm in size and mostly solid.  Thyroid function should also be assessed.

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Doctor answers about:

Isoechoic thyroid nodule

A member asked:

Can isoechoic thyroid nodule of 7mm be diagnosed by fnac test?

A member asked:

What is a innocuous and isoechoic thyroid nodule. also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?

A member asked:

311116 mm solid, isoechoic thyroid nodule with hypoechoic thin halo, fna biopsy says atypical cells of uncertain significance surgery or wait 3 mo.?

A member asked:

1.7 cm thyroid "isoechoic solid nodule" mid-lobe. 2 fnas both came back non-diagnostic. told next step is my choice. should i have the lobe removed?

A member asked:

Thyroid nodule 33.7x24x24 isoechoic and well defined, solid with significant nodule vascularity. affirma test says benign. should i remove to be sure?

A member asked:

I have a right thyroid nodule that is well-circumscribed isoechoic solid nodule with a thin hypoechoic halo and small cystic space 1.71x1.53x1.19cm volume:1.6cc previous was 1.05x1.05x0.78cm vol:0.45cc after 3 yrs. is this high chance of malignant?

A member asked:

Is it poss. cancer? us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. vascularity

A member asked:

Can thyroid nodules shrink?

A member asked:

Medicine for thyroid nodule?

A member asked:

What can thyroid nodules mean?

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