Doctor insights on:
Complex Bilobed Nodule Thyroid
Is it possible to show signs of hyper thyroidism with a TSH level of 0.75? palipitations, constant hunger, .is this physcosamatic? Multi nodular thyroid
Throid nodules. Upper right lobe hot, lower right lobe cold 3.4cm. Does that mean I have hyper and hypo thyriodism at the same time?
No, the activity: Of individual nodules on a thyroid scan may not, in and of themselves, imply hyper or hypothyroidism, which are diagnoses based on systemic symptoms and blood levels. Certainly, however, an autonomous hot nodule could result in hyperthyroidism. Cold nodules have a higher chance of malignancy (although still relatively low), and biopsy may be indicated. ...Read more
It depends: A, "not active" nodule of the thyroid, also referred to as a, "cold nodule" was classically one which did not trap various radioactive tags on nuclear thyroid scanning. Classically, a solitary cold nodule was felt to be at a 50% risk for harboring a malignancy. As a result, such nodules are often subjected to needle biopsy, frequently under ultrasound guidance, for further evaluation. ...Read more
Depends on size: You might not feel anything if it's small. Otherwise, it could feel like a lump, a node and if it's big enough, it can feel like a growth/mass on your neck. If it's liquid, like a cyst, it could be soft. If it's a solid growth, it could be rubbery and if it's calcified, it could have a rock/hard feel to it. ...Read more
Varies: Nodules may be visible lumps beneath the surface or invisible ones in the body of the organ, that may be palpable by trained fingers. Ultrasound & radionuclide scans are used to visualize & help characterize them. See doc for thyroid blood tests & follow-up imaging studies if needed. ...Read more
No: Thyroid cancers start as thyroid cancers and form cancerous nodules. Benign nodules start benign and do not become malignant. ...Read more
Indeterminant: You did not mention about findings of ultrasound and thyroid scan. Please have fresh look with experienced endocrinologist, expert pathologist and thyroid surgeon. You can have slide read by other thyroid pathologist or have second fna by experience endocrinologist. 25-50% cancer rate. Complex nodules must be watched closely. Please read thyroid nodule at http://doctorrajput. Com thanks. ...Read more
Thyroid nodules: Thyroid nodules are common, especially when ultrasound is used. Because of the the size limits are commonly used to determine who needs a biopsy, along with other factors such as personal and family history, and other characteristics. Most nodules less than 1 cm do not need to be biopsied. Follow-up at that size might also not be required very frequently. ...Read more
Probably not: 95% of solitary nodules benign. High-resolution ultrasonography reveals nodules as small as 2 mm in 35% to 67% of the general population. Common benign nodules include adenomas, thyroid cysts, and hashimoto's thyroiditis. Us characteristics of nodules suggest cancer: marked hypoechogenicity, irregular margins, vascularity, shape, solid components. Most biopsied nodules greater than one cm. In diameter. ...Read more
Depends: Depends on how big the nodules are and whether or not they are causing any compressive symptoms now. If they are small and not causing swallowing or breathing problems, you could just follow them in time with ultrasound. If the subsequent ultrasounds show growing modules, you might consider biopsy then. ...Read more
Hi I've got under active thyroid & I've now found out that I have nodules on my right side what could be wrong?
Thyroid nodules: When a thyroid gland becomes underactive, often it can get fibrotic (scar tissue), and that can appear as nodules. Also, the elevated TSH from when you were hypo will stimulate thyroid growth. Thyroid nodules raise the issue of thyroid cancer, but the likelihood is low, especially if the nodules are small (. ...Read more
I had most of my Thyroid removed in 2012 precancerous. Now they said I have a 5mm nodule on my left side. My dr. Said to follow up in In a year?
You're worried.: I can understand why. If your doctor did an ultrasound and saw the nodule, it's probably OK to wait. An ultrasound is pretty good at telling if a nodule is benign. You didn't have thyoid cancer when you had your thyroid removed, which is great, and the reason I'm not worried. But if you didn't have an ultrasound, it might be worth a 2nd opinion about getting one. ...Read more
I had u/s on thyroid and it found 2 nodules. Both on left - 1 at interpolar region and 1 at lower left pole. Where are these locations? Close together?
Who did the diagnosis, you and confirmed by a DR.?
You require a Thyroid scan with 1131, and a fine needle aspiration biopsy.
About 1/10 % of nodules may became cancerous, therefore an endocrinologist should see you. Medicine is advancing by leaps and bounds but it can still be difficult to determine if a thyroid nodule is cancerous or not. Now, people with thyroid nodules can benefit from the latest diagnostic technology. Ask your doctor about Afirma® Thyroid FNA Analysis, a proven solution that may dramatically affect how your nodule is diagnosed and treated. ...Read more
Thyroid nodules are common but most of them are benign.
If you have shown it to your doctor, ask his/her advice for future monitoring. A sonogram (Ultrasound test) is one good way of following it and see if it grows in size. If it is clearly present and growing over 6 to 12 months, a needle biopsy should be considered. Your doctor can refer you to a Thyroid specialist (Endocrinologist) if you asked. ...Read more
See Endocrinologist: These nodules, presumably discovered on ultrasound, may be nothing, may be serious, may be "hot" or "cold", may be from Hashimotos, etc. You need to see someone who can sort this out, and that is an Endocrinologist, best one who does his/her own needle biopsies (if indeed that is needed). ...Read more
See endocrinologist: Thyroid nodules, especially in a young person, need to be evaluated carefully, with ultrasound and possible biopsy. Sometimes, autoimmune thyroid disease (eg hashimotos/graves) can give a nodular appearance, and if so you don't need surgery. Best to see your endocrinologist for evaluation. If surgery is needed, you need an experienced thyroid surgeon. ...Read more
Cyst or other benign:
Growth or a malignant growth
see endocrinologist ...Read more
Multinodular goiter: If you have multiple thyroid nodules, you first need to determine if thyroid cancer. This can be done with a careful ultrasound and needle biopsies. If this is negative, and the gland is not obstructing anything, you may need no other treatment other than to have it reevaluated periodically. If you decide on surgery, chose a surgeon who does this a lot and has a good record. ...Read more
Cell growth: Nodules are another word for a mass. Cancers generally form masses. About 20% of the population have thyroid nodules at some point during their lives. About 70% are benign; of the remaining 30%, 80% are papillary thyroid carcinoma, which is a very low aggressive form of cancer to have. Follicular, medullary and undifferentiated carcinoma make up the rest, with some rare types. ...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
A nodule: That small is probably of no significance, but appearance on ultrasound would be important. Did you mean your tsh is 0.7 rather than your T4? ...Read more
I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I
Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...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
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