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Riverside, CA
A 30-year-old female asked:

My daughter has a 1.1cm hypoechoic density on the lt. thyroid gland inferior to the parathyroid gland (hx: hoshimoto's) should we be concerned?

2 doctor answers3 doctors weighed in
Dr. Thomas Benda, jr
ENT and Head and Neck Surgery 34 years experience
Would biopsy: I would generally biopsy any lump on the thyroid gland 1cm or larger. Hashimoto's does make the results of the biopsy a little more confusing sometimes, but that wouldn't keep me from doing an ultrasound guided needle biopsy. Talk to a surgeon who regularly performs thyroid surgery.
Dr. Quang Nguyen
Specializes in Endocrinology
Depends: Depends on what it looks like on the ultrasound, does it have irregular border, does it has calcium inside it, does it has blood flow inside it? Generally, nodule over 1 cm can be biopsy using the ultrasound but not all nodules > 1 cm needs to be biopsied. The decision to purdue it is between the comfort level of you and your physician. At the very least, get another u/s in 1 year.

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Last updated Mar 4, 2013

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