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

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Dr. Barry Rosen
4,223 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


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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 ...Read more

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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! ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 ...Read more

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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