Male with dominate homogenous solid thyroid nodule measuring 1.1x1:3x1.7. us says somewhat hyper-vascular. are the cancer risk high? need a fnb?

Yes: The ability to define a thyroid cancer depends on the presence of a solid homogeneous nodule that is cold on thyroid scan. While many do biopsies an adenomatous lesion converting to cancer can only be defined if the capsule is invaded. I do not biopsy the lesions since too many errors have been made preop on needle biopsy. Resection of the lesion is the most effective way of curing a tumor.

Could be cancer: Hi. A nodule with those characteristics could be a cancer, although the odds are in your favor that it's not based on years of data on thyroid nodules. You need an FNA, and I recommend doing it with gene testing (such as the Afirma thyroid FNA system; your endocrinologist will be aware of this, and probably uses it). The gene testing reduces surgery for non-diagnostic cytology.