Doctor insights on:
Bilateral Thyroid Nodule
Multiple bilateral thyroid nodules, 1 nodule has grown from 1.9x1.7cm to 2.6x2.7cm in past 8 months and 2nd from 1.4x1. To 2.0x1.5, how concerning?
THe increase: Is a concern and you should talk with your doctor about a thyroid biopsy. Have them also review your lab and the ultrasound findings. ...Read more
I have all the symptoms of hypothyroidism, and bilateral thyroid. Nodules, should I be taking meds even though many labs are within range?
I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?
Variable meaning: Follicular‐patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Repeat biopsy with a sample sent for a genetic afirma assay may give additional useful information. In addition, discuss with your endocrinologist. ...Read more
32 years old male. Thyroid Bilateral Multiple nodule, The largest size is 1.5*1.78*0.839 cm. Three times FNA. Result is No EVIDENCE OF MALIGANCY. Comment: Follicular cell, Hurthle cell and colloid are seen. I worry about the Hurthle cell. My Surgeons only
Thyroid nodules: Usually we worry about a solitary nodule in a male and it appears that you are in good hands and the biopsies are reassuring. For further reassurance we depend on a combination of an endocrinologist or thyroidologist and a surgeon skilled in thyroid surgery reviewing your findings and I would be quite comfortable with their advice and follow-up. ...Read more
My mother have bilateral heterogeneous thyroid with micro nodules. Is it very serious and is it cancer?
Thyroid nodules: You need to ask your mother's treating doctor about the diagnosis of your mother. There is not enough information given to answer your question. ...Read more
For over 2 yrs. I have had pain in the front of my neck as well as bi-lateral enlarged lymph nodes. Two 1.5 cm thyroid nodules just found. Thoughts?
Thyroid issues: Thyroid conditions such as thyroiditis and nodules can exist and cause symptoms for years. The thyroid nodules need to be biopsied and if the lymph nodes are enlarged enough, they may also need to be biopsied for a more specific diagnosis. Certainly, thyroid lab tests also need to be done if not done already. Good luck ...Read more
Post hyster for endo cancer - all mediastinal nodes enlarged, w/bilateral hilar & virchows node. No sarcoid/lung issue, have thyroid nodules. Ideas?
My mother have bilateral heterogeneous thyroid with micro nodules size upto 3.5mm is it very serious? And is it cancer? She takes strong multivitamin
Common: Small nodules of the thyroid are common in the population. Most of these nodules are benign. We typically do not attempt biopsy of any nodule unless it is more than 10mm in size. Nodules of 3.5mm or less are usually of no clinical significance. Taking vitamins should not affect this. ...Read more
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read more
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read more
Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read more
Depends on the cause: If a nodule is due to hashimoto's thyroiditis (inflammation caused by autoimmunity, where one's own immune system attacks one's proteins and tissues), then taking thyroid hormone pills can shrink it. If it's a tumor that's over-producing thyroid hormone, radioactive iodine can kill it, and make it smaller). Fluid-filled cysts can be drained with a needle, but may grow back. Cancer needs surgery. ...Read more
Variables: Radioactive Iodine treatment for hyperthyroidism tends to have a much higher success rate than medications. Depending on the dose of radioactive iodine chosen, and the disease under treatment (Grave's vs toxic goitre, vs hot nodule etc), success rate in achieving definitive resolution of the hyperthyroidism may vary from 75-100%. A major expected side effect of radioactive iodine in hypothyroidism ...Read more
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