A member asked:

I've1 hypoechoic nodile on thyroid. it is 5x6mm. blood test came normal, the shape and size of my throid is normal.are all hypoechoicn nodiles cancer?

5 doctors weighed in across 3 answers
Dr. K. Mujib Haque answered

Specializes in Internal Medicine

FineNeedle aspiratio: 4-7 % thyroid nodules can be cancerous. What was your TSH levels. Was a fine needle aspiration (FNA) ever performed on this nodule? If TSH IS NORMAL get FNA! If TSH lower than normal get Nuclear Thyroid Scan. If scan shows non functioning nodule...then get FNA. If FUNCTIONING NODULE check FT4 and T3 (liothyronine) levels. Certain characteristics of a nodule that can be worrisome talk to an Endocrinologist.

Answered 1/31/2015

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No : Hi. It's a nodule, not a "nodile". If all hypoechoic nodules were cancer, we'd take them all OUT! NO, they're not all cancer. In fact, most of them (THE MAJORITY) are NOT cancer! And yours is so small (5x6 mm) that no further work up is recommended, other than at most to do a repeat ultrasound in a year or so. Why did they do a thyroid ultrasound on you in the first place?

Answered 7/28/2014

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No: Most thyroid nodules are benign. However, any large nodule like the one you have needs to be investigated more thoroughly, first with a fine needle aspiration biopsy (FNA). The pathologist dx will determine the next course of action

Answered 1/16/2016

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