M w/ hypothyroidism (2 yrs). us identified dominant homogeneous solid thyroid nodule >1 cm . no mention of hyper or hypoechoic. are cancer risk high?

Thyroid nodule: There is always a possibility therefore you should discuss with your doctor a possible thyroid iodine scan and possible biopsy. Good luck.

Not necessarily: Incidence of malignancy is 4% when a solid thyroid nodule is hyperechoic. If the lesion is hypoechoic, the incidence of malignancy rises to 26% although using this as criteria to determine likelihood of malignancy isn't very accurate. In general, thyroid cancer is an uncommon malignancy which constitutes about 0.5% of all malignancies. Follow up with your doctor is recommended for additional tests