Doctor insights on:
Complex Cystic Nodule Thyroid
Thyroid u/s reviled “solitary right of midline, 9mm complex cystic nonvascular ismuth nodule”. Should I be worried / biopsy?
Possibly: The ultrasound should be followed up with an appointment with an ear, nose and throat surgeon to discuss biopsy vs an additional nuclear medicine test that can give more information about the nodule. There should also be some lab tests done to measure thyroid hormones. All of that information will be used in making the best decision for you. ...Read more
Unlikely but ask doc: Most of the the thyroid nodules are benign, cystic nodules are even more benign, but sometimes a small focus of cancer could be inside the cyst, to be sure most of the time after fine needle aspiration (fna) will be done by your doctor send for biopsy (cytology) to be sure it is benign.. ...Read more
Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?
2 thyroid cystic nodules 1.6 cm and 1 cm in size on one side causing problems while eating. Recommend hemithyroidectomy? What are the risks?
And they will be explained in detail by your thyroid surgeon. You can easily live on thyroid replacement (which may be the choice of your physician (to "avoid" development of further nodules in the other half of the gland)
Hope this helps!
Dr Z ...Read more
Thyroid u/s: 3x2x3mm cystic nodule, ill-defined 1.6x0.8x1.0cm hypoechoic nodule r lobe; 6x3x6mm solid, slightly hypoechoic nodule l lobe- next step?
Followup exam: By age 60, about one-half of all people have a thyroid nodule, found either through examination or with imaging. Over 90% of such nodules are benign. Hypoechoic noodules are usually cysts. A complex nodule over one cm. With blood flow should be biopsied. This can be performed by neeedle or core bx. Most nodules are asymptomatic. Follow up us examination in six months suggested. ...Read more
8 yrs post subtotal thyroidectomy remain thyroid has cystic, complex & solid nodules. Largest solid isoechoic w/o calci is 1.2cmx.8cmx.5 what to do?
What does a hyperplastic with mild atypia nodule and cystic hyperplastic nodule associated with oncocytic metaplasia mean, both are in thyroid.
I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?
Variable meaning: Follicular‐patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Repeat biopsy with a sample sent for a genetic afirma assay may give additional useful information. In addition, discuss with your endocrinologist. ...Read more
Thyroid US 0.6cm hypoechoic nodule & 1.2cm partially cystic nodule. Going to endocrinologist but can't get me in for a few weeks. Reason for concern?
Safe than Sorry: Since the lesions are at least partially solid, the endocrinologist will probably want to be more safe than sorry. You will probably require a radioactive iodine scan of the thyroid to evaluate the nodules more closely to see if the nodules are truely only cystic, or he/she may elect to perform a fine needle aspiration of the lesions to collect samples to be tested under the microscope. ...Read more
I was incidentally diagnosed with 4mm thyroid hypoecoic cystic nodule with couple central punctuate calcification. How often those turn out cancerous?
Nodules are usually benign HOWEVER further evaluation may be indicated. You should be evaluated by a specialist in thyroid problems! An Endocrinologist or Head and Neck surgeon should be the next step!
Hope this is helpfu
Dr Z ...Read more
I have a 2.4 heterogeneous hypoechoic solid nodule with cystic components and no increased vascularity or internalcalcification on thyroid. Is it bad?
Scan says enlarged thyroid more to right with multipal isoechoic/spongy nodules largest 1.8x1.4cm with central cystic area an peripheral vascularity??
Thyroid: Thyroid are very common and can be found on exam of the neck, US or CT scan. Depending on the number of nodules, size of the nodules and any underlying thyroid disease would dictate what further work-up is needed. For larger nodules a needle biopsy with the possibility of surgical removal may be recommended. ...Read more
What is a innocuous and isoechoic thyroid nodule. Also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?
Hard to say: It's hard to say without seeing the actual images. An isoechoic nodule is typically nonspecific and potentially falls in the indeterminate range (ie need follow up or biopsy). Same thing for a heterogenous "nodule" with tiny cystic spaces. A "complex cyst" with tiny cystic spaces can be a sponge like cyst that is typically benign. ...Read more
I just had fna done on 1 of 3 thyroid nodules and report say 3cm heterogeneous soild nodule w/small cystic components, what does this mean?
What does this diagnosis mean, Left thyroid: cystic lesion with hemosiderin-laden macrophages. Its my cytology report from a thyroid nodule.
Probable benign: Most cystic lesions and not pure cysts usually respresent breakdown and hemmorhage into a benign neoplsm. The presence of macrophages and hemosiderin suggest some form of inflammatory condition such as Hashimoto's thryoiditis. Unless there are changes on physical and thyroid scan suggesting further growth, conservtive management is suggested. ...Read more
A 0.3 x 0.5 x 0.3 CM hypoechoic cystic nodule with punctate internal echo is noted in the lower pole of the right lobe of the thyroid gland.?
Small nodule: Often cystic thyroid nodules can have denser regions called "punctate foci". If the nodule is not cystic those can also be microcalcifications, a finding that increases the risk of thyroid cancer. The key though is that the nodule is very small and therefore requires monitoring only, no matter what its nature may be. ...Read more
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
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
.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain
Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. 0.2mm growth in 11/2 years is slow growth. Most malignant tumors grow faster. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. You are correct in getting follow up US exams. Hyperechoic lesions are denser sometimes with calcium. ...Read more
Hello I recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?
Biopsy: Hi. Assuming your thyroid function is normal (not hyperthyroid), the thyroid nodule you describe needs fine needle aspiration biopsy for cytology (and hopefully genetic testing) to see if it's cancer. If it's not cancer, you can leave it in and just follow it, and thus avoid surgery for a non-cancerous tumor. I have to assume that whoever ordered the ultrasound has told you that you need FNAB. ...Read more
Mri shows that I have a cystic nodule of left thyroid lobe and a perineural tarlov cyst in left s2 (racepinephrine) neural foramen. Are these related? What are they?
Thyroid nodules on CT. US found 10+ nodules, 2 largest about 2.5 cm and are "mixed cystic and solid". Dx benign multinodular goiter. Followup needed?
Watch it yourself: Get acquainted with how your gland feels. If one of the nodules starts getting appreciably bigger while the rest stay the same, get seen. This may happen but isn't likely. Best wishes. ...Read more
Lump in my right throat. TSH, T4 normal, UTZ results: slightly enlarged right thyroid gland with complex cystic & small nodules. Should I be worried?
More No than Yes: The thyroid is a cystic gland controlled by hypothalamus (TSH) via anterior pituitary (TRF) to manufacture & secrete T3+T4. If thyroid cysts coalesce or locally enlarge, then cysts large enough to see via current US technology can be seen. This still indicates something not optimal but it is solid nodules which are far more worrisome &, though less frequent, far more likely to be thyroid cancer. ...Read more
Hot & cold cystic nodule 1 in ea thyroid lobe. T4/t3 high end normal. Tsh low, mild swelling & perimenopausal? Symptoms. Fna due. Diet suggestions. Ta
Yes.: I would recommend avoiding salt in order to decrease any swelling. Also, avoiding caffeine will help avoid palpitatins and d other symp symptoms related to high thyroid state. ...Read more
Seen Endocrinologist have one. 5cm partly cystic and party soild thyroid nodules no blood flow, went to recheck in 6 months what's next?
Thyroid nodules: TN are very common and largely benign. You benefit from monitoring, if they grow they will be further evaluated or removed before something ominous happens. Your thyroid blood levels will be checked, you may need thyroid replacement. Mostly, thyroid nodules are low risk health issue. Be well. ...Read more
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
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
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