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Doctor insights on: Complex Cystic Mass On Thyroid

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Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm. Is this suspicious for malignancy?

I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm.  Is this suspicious for malignancy?

Possibly: A mural nodule may or may not be a sign of a malignant mass. This complex cyst should be followed with a pelvic ultrasound in 6-10 weeks. If still present or growing, consider a pelvic MRI without and with intravenous contrast. Please see your Gynecologist. ...Read more

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Subcentimeter hypodense nodule on left thyroid lobe with coarse focus of calcification---subcentimeter left thyroid nodule.Non-specific in nature.

Thyroid nodules: Most nodules less than 1 cm are not concerning and can be monitored with periodic ultrasounds. Some features such as calcification may heighten concern. Much more information is necessary in your situation. Is there family history of thyroid cancer, personal history of hyper or hypothyroidism, and radiation exposure? You need to discuss this with an endocrinologist and arrange a treatment plan. ...Read more

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Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Possible biopsy: Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Most findings are benign and typically are cysts. Biopsies are done routinely for solid nodules to make sure they are benign or not. You may require some thyroid replacement but thyroid blood tests are also required. She your primary or an endocrinologist since they specialize in thyroid issues. Good luck ...Read more

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Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more

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Having a thyroid biopsy on complex nodule with very little internal flow, complex cyst nodule, and right isthmus appears thickened ireg borders, ?

Thyroid bx: I am not sure what your question is, but the most important factor is seeing a doctor who can evaluate all these findings. That is usually an Endocrinologist, whether or not (s)he does the biopsy. Thyroid nodules are common. Most are not cancer. If surgery becomes an option, find a surgeon who does thyroid surgery a a lot, not someone who does this only occasionally. ...Read more

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Complex cystic mass left ovary showing interval increase. Likely presumed endometrioma. Cannot completely exclude cystic neoplasm. What's this mean?

Complex cystic mass left ovary showing interval increase. Likely presumed endometrioma. Cannot completely exclude cystic neoplasm. What's this mean?

Endometriosis: This sound like a cyst of endometriosis in the ovary. At your age, the risk of cancer is very small, but you need to discuss a treatment plan with your GYN. This will likely require surgery for removal. ...Read more

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Thyroid found to be slightly heterogeneous on ultrasound. Isoechoic nodule measuring 7mm mid left lobe. Fam history of thyroid cancer. Concerning?

Not concerning.: Isoechoic thyroid nodules are generally not concerning especially when they are less than 1.5 cm and if they don't have suspicious features like microcalcifications and increased internal vascularity. I recommend repeat thyroid US in 1 year. Make sure you have got your TSH and Free T4 checked. ...Read more

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I have a tyroid nodule, 1.6 x .9 x 3 cm. heterogeneously attenuating predominantly cystic right thyroid nodule. What's it mean and could it be cancer?

I have a tyroid nodule, 1.6 x .9 x 3 cm. heterogeneously attenuating predominantly cystic right thyroid nodule. What's it mean and could it be cancer?

Thyroid: Its highly unlikely to be cancer. The odds favor this being a thyroglossal duct cyst. Pts often present at you age. You don't say where exactly your mass is. TDC is usually near midline. Another possibility is a branchial cleft cyst which is also a congenital problem. Your docs may want to do a CT guided fine needle biopsy. Hang in there. I think you will be fine. ...Read more

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Right ovary with multiple follicle cysts and dominant 1.1 cm mildly complex cyst. Can this be cancerous?

Right ovary with multiple follicle cysts and dominant 1.1 cm mildly complex cyst. Can this be cancerous?

Yes sometimes: Yes, some complex cysts can be cancerous, but most are not when they are that size. Usually doctors follow these with sequential ultrasounds until better clarified. ...Read more

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Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in future. Inconclusive?

Complex cystic hypoechoic nodules right parotid gland with internal vascular septations  &calcifications Echogenic foci Biopsy in future. Inconclusive?

Parotid mass: Your doctor will probably want an FNA, fine needle aspiration to obtain cells that can be examined by a pathologist. Probably will be benign but your ENT may suggest it be completely excised. ...Read more

Dr. Lynne Weixel
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more