Doctor insights on:
Cystic Regions In Thyroid Nodule
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
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
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
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
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
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
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
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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