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A 32-year-old female asked:

I have a cold solid vascular thyroid nodule that has doubled (now 4cm) in 6 months. had fna, was benign so they are not worried. should it come out?

2 doctor answers6 doctors weighed in
Dr. Farhad Sigari
Otolaryngology/Head and Neck Surgery 22 years experience
Probably yes: Any nodule that grows significantly in a short period of time needs to be evaluated for cancer. Consider having another biopsy if it has grown since the biopsy. However, those nodules that are greater than 3 cm should be removed.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Quang Nguyen
Specializes in Endocrinology
Yes: The bigger the thyroid mass, the higher the likelihood of false negative (benign result although cancer still possibly exists) because you could possibly have a fleck of cancer within this 4 cm mass that was not sampled in the biopsy. Since you are very young (32 yo), a 4 cm mass should probably be removed. Otherwise, you should follow this closely and repeat the biopsy if more changes are seen.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 3, 2016

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