Top
20
Doctor insights on: Can A Solid Hypoechoic Nodule In Thyroid Gland Be Cancer

Share
Dr. Barry Rosen
4,323 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


2

2
I had a ct scan of neck, they saw small hypoechoic nodule in thyroid and an enlarged lymphnode, is it cancer?

Thyroid nodules: This is a very common finding, and the fact that it is small suggests lower risk. Usually under 1 cm they don't bother to biopsy, but perhaps with an enlarged LN in the area it might need it. Fine Needle aspiration biopsy can be safely and easily done perhaps with US guidance and a pathologist to evaluate the sample to ensure it is sufficient and triaged to the appropriate next steps. Most r b-9

3

3
Decrease in thyroid gland size and increase in thyroid nodule size?

Decrease in thyroid gland size and increase in thyroid nodule size?

Concern: Thyroid gland do not change in size that much. Majority of thyroid nodules are benign, increase in size is a concern, should have fna biopsy (cytology) to make sure there is no malignancy in it.

See 1 more doctor answer
4

4
Male with dominant homogenous solid thyroid nodule in midpoint that measures 1.1x1.3x1.7. Does this indicate a high cancer risk? Are most benign?

Most are benign: Hi. Yes, most nodules with those characteristics are benign. I'll assume you're not hyperthyroid (hyper-functioning nodules are NEVER cancer). Nevertheless, the chance of cancer is high enough (about 10-15% for nodules like that) that you MUST get it biopsied (non-surgical needle biopsy with gene testing is recommended). Don't ignore it, and don't ASSUME benignity. Cheers!

See 1 more doctor answer
5

5
Does a homogeneous or heterogeneous solid thyroid nodule have more cancer risk? I see lots of info on heterogeneous but not on homogeneous.

Does a homogeneous or heterogeneous solid thyroid nodule have more cancer risk? I see lots of info on heterogeneous but not on homogeneous.

Depend solid or cyst: Thyroid nodule either solis or cystic and that could be done by ultrasound next it has to be classified as cold or hot or warm and that could be done by thyroid scan if it is solid and cold have higher tendency to be malignant oat of thyroid nodules are benign if it is of some concern the doctor will perform fine needle aspiration to exclude malignancy you should be under doctor carei

See 1 more doctor answer
6

6
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?

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?

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.

See 1 more doctor answer
7

7
1 year thyroid nodule follow-up revealed a new thyroid nodule and the other one is no longer there. They were both hypoechoic. Chance this is cancer?

1 year thyroid nodule follow-up revealed a new thyroid nodule and the other one is no longer there. They were both hypoechoic. Chance this is cancer?

It is usually benign: The risk for a thyroid nodule to be cancerous actually is only 5-6%- and majority of thyroid nodule is benign. Having said that, the risk of developing thyroid cancer will be higher if you have significant risk like previous exposure to radiation to the neck area at early age (childhood), family history of thyroid cancer etc. You need to continue to f/u with your doctor and sono as indicated.

9

9
I have a 4.5 x 3.5 thyroid nodule: solid, hypervascular. My tgab is at 70 and TSH is 3.15. I am symptomatic. Is this a cancer marker?

I have a 4.5 x 3.5 thyroid nodule: solid, hypervascular. My tgab is at 70 and TSH is 3.15. I am symptomatic. Is this a cancer marker?

No: Tgab and TSH are not cancer markers. It's important to know if the nodule is 4.5 cm or mm? If cm, you should get an ultrasound guided biopsy. If mm, it is very small and just need surveillance. If you are young and already symptomatic with a 4.5 cm thyroid mass, surgery is an option for you. Please discuss all this with your doc.

See 1 more doctor answer
10

10
I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

Needs Biopsy: Thyroid nodule with microcalcification&hypervascularity have a likelihood of being Cancerous in about approx 5.3 % of cases according to literature. Ask your endocrinologist for Biopsy We really need other teatures like irregular or regular border, Pattern of calcifications like few few or snowstorm parttern, minimal or high internal flow These are other features taken into account to prediction

See 1 more doctor answer
11

11
My ultrasound showed cervical lymphadenopathy and hetergeneous ill-defined solid thyroid nodule. Could this be cancer?

Needs med Evaluation: You should go see your doctor and get further investigations. The thyroid nodule may need a biopsy which is best arranged after visiting an endocrinologist or thyroid specialist (ent doctor).

See 1 more doctor answer
12

12
M w/ hypothyroidism (2 yrs). US identified dominant homogeneous solid thyroid nodule >1 CM. No mention of hyper or hypoechoic. Are cancer risk high?

M w/ hypothyroidism (2 yrs). US identified dominant homogeneous solid thyroid nodule >1 CM. No mention of hyper or hypoechoic. Are cancer risk high?

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

See 1 more doctor answer
13

13
Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Yes it's possible: Any thyroid nodule over 4 cm needs to be removed surgically to make sure not cancerous per ata guidelines. I would still get a fna first before going to surgery but needs to be removed. More info on my website on thyroid nodules at www. Cvsurgicalgroup. Com.

See 1 more doctor answer
14

14
3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.)

See 1 more doctor answer
15

15
Solid heterogeneous thyroid nodule 15mm to 3cm in 2 years and normal TSH levels. If it is cancer, could it have spread over the 2 years? Fna tomorrow.

Solid heterogeneous thyroid nodule 15mm to 3cm in 2 years and normal TSH levels. If it is cancer, could it have spread over the 2 years? Fna tomorrow.

Unlikely: Thyroid nodules are a fairly common finding. In the setting of a normal tsh, an fna is the appropriate next step. The good news is the very large majority are benign. An fna is the only way to know for sure though. Best of luck!

See 1 more doctor answer
16

16
3.5cm thyroid nodule, ultrasound found solid mass and fluid filled cysts w/ calcifications. Lymph node near carotid. Could it be cancer? Still waiting

Calcifications: Calcifications are red flags for thyroid cancers. Need US guided bx, if you have not already had. CT scan scan with contrast indicated.

17

17
Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

Hyperplastic nodule: This sounds like a hyper plastic nodule. These are usually benign. In the absence of prior studies, this usually is followed up to show it's stable nature. If it changes or grows it would need a biopsy. Nonetheless would suggest an in depth discussion with your doctor

See 1 more doctor answer
18

18
Right side upper pole solid hypoechoic single thyroid nodule mean? Worried..

Depends: It all depends on the size and if it is new. There is a need to do needle aspiration if not sure

19

19
12mm slightly complex THYROID nodule (R) + 10x6x5mm hypoechoic nodule (R). Impression: largest predominantly solid appearing nodule is 10mm. GET FNA?

12mm slightly complex THYROID nodule (R) + 10x6x5mm hypoechoic nodule (R). Impression: largest predominantly solid appearing nodule is 10mm. GET FNA?

FNA: The 12 mm nodule and the 10 mm nodule should both get an FNA. I'd advise doing the FNAs with thyroid cancer gene panel testing. Most are benign, so please don't be concerned until and unless you get bad results from the FNAs. Good luck!

See 1 more doctor answer
20

20
What does a small non reactive left submandibular lymph node and a right side upper pole solid hypoechoic single thyroid nodule mean? Worried..

Benign: Small reactive node means just that, ...... no worries just follow up Solitary solid nodule can be benign... rec thyroid I uptake scan if hot benign if cold on uptake scan consider biopsy

See 1 more doctor answer

Thyroid Gland (Definition)

It is an endocrine gland which produces thyroxin hormone which controls the metabolism in every cell in the body. It produces 80 to 90%t4 and 10 to 20 %t3. These control rate of metabolism and affect the growth and rate of functions of many cells in the body it is ...Read more


Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more