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Doctor insights on: Complex Cystic Nodule Thyroid

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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


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Thyroid u/s reviled “solitary right of midline, 9mm complex cystic nonvascular ismuth nodule”. Should I be worried / biopsy?

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

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Can cystic thyroid nodule be cancerous?

Can cystic thyroid nodule be cancerous?

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

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What does it mean to have a solitary nodule with cystic degeneration in the left lobe of thyroid?

What does it mean to have a solitary nodule with cystic degeneration in the left lobe of thyroid?

Recommend biopsy: Although there are characteristic finding on us that help up get an idea of what type of nodule it is. The gold standard for diagnosis is a us guided needle biopsy. It is relatively non invasive and has good accuracy. ...Read more

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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?

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?

FNA not essential: As the nodule is less than 1 cm. FNA biopsy is not essential in most cases. But if any risk factors like history of radiation to head or neck or family history of thyroid cancer then need to follow up more closely by ultrasound and may also consider FNA biopsy ...Read more

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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?

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?

Very few: 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

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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?

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

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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?

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?

Biopsy: Your option is to do an ultrasound guided biopsy on the 1.2 cm nodule or follow it closely with ultrasound and biopsy it if it's growing. The risk of cancer still remain low. ...Read more

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What does a hyperplastic with mild atypia nodule and cystic hyperplastic nodule associated with oncocytic metaplasia mean, both are in thyroid.

Not cancer: These are non-diagnostic findings. It is not cancer. However, you should follow your doctor's advice for follow-up tests and treatments. ...Read more

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I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?

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

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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

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I was incidentally diagnosed with 4mm thyroid hypoecoic cystic nodule with couple central punctuate calcification. How often those turn out cancerous?

I was incidentally diagnosed with 4mm thyroid hypoecoic cystic nodule with couple central punctuate calcification. How often those turn out cancerous?

These: 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

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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

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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

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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?

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?

Microscopic?: This report represents the gross pathologic findings but the microscopic. Microscopic results will define whether cells are benign or malignant. Usually the solid part of the nodule has the answer. Need further information. ...Read more

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What does this diagnosis mean, Left thyroid: cystic lesion with hemosiderin-laden macrophages. Its my cytology report from a thyroid nodule.

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

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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

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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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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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Dr. Qamar Khan
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