Doctor insights on:
Can Thyroid Nodules Disappear Without Treatment
Is it possible for thyroid nodules, associated with Hashimoto's, to completely disappear without any treatment?
Hashimoto's: Hashimoto's thyroiditis is an autoimmune disorder in which your bodies immune system attacks your thyroid. The thyroid usually shrinks over time in this disease. I would be surprised if thyroid nodules also disappear with this disease. If they grow they should be evaluated at some point. ...Read more
Nodule: If you have a complex thyroid nodule that meets certain criteria a thyroid nodule biopsy under ultrasound could be preformed. It is a simple procedure done with local anesthetic. Most thyroid modules are overwhelmingly benign. If positive additional studies and likely removal of that lone of the thyroid. ...Read more
It depends: An endocrinologist can help sort this out. Often they will do an ultrasound examination and a needle biopsy to find out if it is benign or cancerous. Once this is sorted out then the treatment is dependent on the cause...It may need to be removed surgically if they suspect the nodule to be cancerous. ...Read more
Monitor: Depends on the size of the nodule, you might need a biopsy to make sure it is benign. At the very least, you need to follow the nodule with another ultrasound in a year to make sure it is not growing or significantly changing. The only curative treatment is surgery which is the decision between you and your physician. ...Read more
I have a thyroid nodule but the ultra sound said it was small and no need for further treatment. Why do I still feel like I am chocking?
Must b another cause: Choking sensation in the throat can be due to something other than an abnormality in the thyroid. Because the anatomy in that area includes the vocal cords, the trachea, esophagus, epiglottis; abnormalities in any of these other areas may cause a choking sensation. See doc. Common cause is swelling of the larynx or vocal cord from acid reflux which is treated with a trial of an acid reducer med. ...Read more
I have thyroid nodules and had i131 treatment 3 years ago. My thyroid tests always come back normal. Is seeking a second opinion reasonable?
If you want, yes: Now it is Important is what is in that nodule, is it a benign nodule or it has malignant component in it. Thyroid function could be normal but usually need supplement after I 131 treatment. Speak to your doctor first for more information and for possible FNA (Fine needle aspiration biopsy) ...Read more
I have multiple thyroid nodules over 6 years. They have grown slightly with largest being 2 x 1.1 x 1.3 cm. Biopsy indicates benign. Treatment?
Unless the nodules are a cosmetic issue, no treatment is necessary. Many people have multiple small nodules in the thyroid.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
Watch them: Unless they are large, the treatment for adenomas of the thyroid is observation. They are removed when they are bug enough to cause symptoms. ...Read more
I'm confused aftr readng! .Have thyroid nodules. Ws on synthroid (thyroxine).10 yrs later, diff. Dr took off syn. Ok for no treatment w/nodules dr. Rarely ultrasnds?
Evolving knowledge: In the past it is not uncommon for people with thyroid nodules to be started on levothyroxine supplementation. The logic was high dose thyroxine would keep the nodule from growing. Studies have failed to prove this and most endocrinologists gave up the practice of prescribing levothyroxine suppression for thyroid nodules. Most thyroid nodules are benign (>95%), long history is reassuring in ur cas. ...Read more
Most Are Benign: Doctors' don't "treat" thyroid nodules unless there is concern for cancer or they get big enough that they cause problems. Solitary nodules are more concerning for cancer than thyroids with multiple nodules in them. If there is a concern for ca they are biopsied. If worrisome, the half portion of the thyroid with the nodule is removed, not just the nodule. See my comment below for more. ...Read more
Options: Depends on the size of the nodule, you can either do an ultrasound guided biopsy to rule out cancer or follow it with yearly ultrasound to make sure that it's not growing or do the biopsy if it grows. If it's causing swallowing/breathing problem or if it's producing extra hormone, surgical removal is also an option. If biopsy showed cancer, you will need surgery. ...Read more
Less than 1cm hypoechoic thyroid nodule disappeared one month later. Dr said 1st ultrasound wasn't overread. How'd it disappear?
Thyroid nodule: Thyroid cysts can certainly come/go. The quality of ultrasounds, the interpretation, and the definition of a "nodule" can vary. Hashimoto's can cause a patchy pattern that can look like a nodule. Certainly a small nodule that is so transient is not something to worry about. An endocrinologist should be able to interpret things. ...Read more
4mm hypoechoic thyroid nodule disappeared by 1 year follow up ultrasound. They didn't see any nodule on the ultrasound. Is this normal?
New 7mm hypoechoic thyroid nodule found on ultrasound. I had a 4 mm hypoechoic nodule that disappeared a year ago. Why do I keep getting these?
What are the chances a 4mm thyroid nodule with microcalcifications present is malignant? What are the cure and survival rates for a 29 y. O. Male?
8mm normal vascularity hypoechoic thyroid nodule incidentally found on ultrasound. Does this need to be biopsies? Had one before and it disappeared.
Follow: You don't need a biopsy right now but you should have another ultrasound in about one year to make sure it's not growing. Biopsy it in the future if it grows. ...Read more
Variable: Thyroid nodules are variable in their growth patterns. Some can grow quickly in size, particularly if there is a cystic component to the nodule. Your doctor will usually suggest an ultrasound to follow the growth of the nodule every 6 months to one year, depending on the level of suspicion. ...Read more
Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read more
May need biopsy: The management of thyroid nodules depends on a number of factors. How big are they? What do they look like on ultrasound? Are they "hot" (take up radioiodine) or cold? Are they part of a multinodular goiter or hashimotos thyroiditis? The risk of a nodule being cancer is usually low, but big, solitary nodules are more worrisome. A biopsy is an easy procedure by someone trained in this. ...Read more
Several steps: 1) history and physical exam by doctor, 2) blood test to assess thyroid function. If hyperthyroid: needs treatment and usually a nuclear scan. 3) if thyroid function is normal or depressed usually a thyroid ultrasound is done 4) if nodule is solid or suspicious then fine needle aspiration. 5) if benign: follow-up - if malignant (or suggestive) refer to qualified surgeon. ...Read more
Very common problem: Thyroid nodules are very common. We do not know why they appear. They normally do not cause functional changes in the thyroid. Once they are found, thyroid labs are done and ultrasound is used to evaluate. Those over 1 cm often get biopsied with fine needle aspiration biopsy. Luckily, about 95% of nodules are benign. ...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
It could be a colloid cyst - an accumulation of thyroid hormone. It could be a benign adenoma - an area of thyroid gland that is growing slightly differently/faster than the rest of the gland.
Most physicians follow benign thyroid nodules to see if they are growing or changing, which may necessitate another biopsy. ...Read more
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