Doctor insights on:
Difference Between Nodule And Goiter
What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?
A long time: Can be a long time assymptomatic sped up by iodinated contrast dye, for example. A non-toxic multinodular goiter can grow over decades at a rate of 0-20% a year. Taking idodine by mouth in supplements or drugs or havng a heart cath can lead to toxic multinodular goiter. Most thyroid nodules with cancer are "cold nodules" that do not light up as producing thryoid hormone by radioactive iodine scan. ...Read more
Yes & no: Hi. Goiter refers to abnormal size/shape of thyroid. Goiters can be diffuse or nodular or both. If you have a nodule (aka nodular goiter) and you're NOT hyperthyroid, it could be a cancer, and needs an evaluation for that (fine needle aspiration biopsy). Most nodules are benign when you look at all nodules, but you can't assume benignity. It must be evaluated. Good luck! ...Read more
I have a goiter and had a sonogram which confirmed nodules 2 years ago. Should I have it followed up on?
Yes: Most of the goiters are benign, but need follow up care as some times the nodules may have malignant transformation. ...Read more
My TPO is 12, my TGab is 1.2, I have a goiter and a nodule on one side with a cyst on the other. I have many hypo symptoms. I was told the chance of me having Hashi's was pretty high, is this true?
Thyroid tests: Your tests are results of antibodies against thyroid peroxidase and thyrogolbulin. If you are hypo (low) thyroid with these positive tests, a DX of Hashi is high. If you are euthyroid (normal tsh, normal T4) it suggests DX of autoimmune thyroid disease. Please be sure you follow up with your endocrinologist. Good luck. ...Read more
Goiter: Thyroid nodules and goiters are slow growing and take years to grow. However, there could be a more rapid increase in size due to tumors, inflammation, pregnancy, bleeding within the nodules, or thyrotoxicosis (hyper functioning gland). For this reason, once diagnosed, most physicians recommend thyroid nodules/goiters be monitored with annual examination and thyroid ultrasound. ...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
You're certainly hypothyroid, at the very least.
A high TSH means your thyroid is not doing its job, and needs some help. You need to be followed by a knowledgeable physician who is comfortable with treating hypothyroidism.
You're probably symptomatic with a TSH that high. It may be simple to treat, just by adjusting your dose of thyroid replacement. That may take care of everything. ...Read more
These nodules can: Sometimes be reduced in size by taking a small amount of Thyroid medicine. This requires some expertise. See an Endocrinologist for the best care. ...Read more
Dear sirs! I have had a goiter for years and now since last year one complex nodule been growing 2 cm. Biopsy not suff. Cells may 2012 -new biopsy?
Repeat: If the nodule grew 2cm since your last ultrasound, then I would surgically remove that part if your thyroid. If, however, your thyroid nodule grew and is now 1 cm in size, then I would repeat the biopsy one more time. If this is still insufficient, then I would proceed to surgery. ...Read more
Have goiter with 6 micronodules. US say nodules not suspicious. A-TPO 1, 309 A-TG 117. TSH, FT3/4 normal. Goiter size fluctuates. Could this be cancer?
Multinodular lesions/goiter are not uncommon. It would be prudent to follow your doctor's advise for continuing care to watch out for any changes.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound. ...Read more
I have hypothyroidism, goitered thyroid, and a nodule on my thyroid. Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?
Is there any cure if your thyroid levels are normal but u have extremely high thyroid peroxidase and a goiter with nodules?
No cure: However, you have hashimoto's and may become hypothyroid in the future. Have yearly check of the TSH or more frequently if you plan to get pregnant! TSH levels should be under 2.5 - 3.5 non pregnant. "normal" tshs of 4 or 5 are not normal. ...Read more
Thyroid function?: You need to know your thyroid function level (free t4, tsh). If these are normal, the nodules are small (<1 cm), and you have no neck compressive symptoms from the goiter, usually observation is recommended. If a nodule is > 1cm and/or has suspicious characteristics on ultrasound, a fine needle biopsy may be needed. ...Read more
What is d cause of increase in size of colloidal goiter nodule from 29 * 20 to 35 * 22 and isthmus frm 15 to 42 mm in 1month with normal tsh? Treatmen
No treatment: You seem to have nodular goitre. No treatment if TSH normal. Check TSH back every 6 months again. If abnormal then will need treatment. ...Read more
My fna on isthmus 2.7 CM nodule came bk atypical. The folliculior cells are benign looking like a cystic process...Big goiter can I have it out...
25 yo female just diagnosed with hypothyroidism. They also found that I have a multimodal at goiter and cyst filled nodules. Would you be concerned?
Medical problem: Thyroid disorders such as you describe can be treated and basically a normal life can be lived, so I would not worry. It is a condition that you will need to be treated for and followed as stated, but concern and worry will just cause unnecessary stress that no one needs. Embrace your medical problem with an open mind and no stress. Best wishes. ...Read more
I have multiple nodules like around 20 and a large goiter in my thyroid. Last biopsy was three years ago. Unable to get follow up due to no insurace?
Follow up when u can: I assume the biopsy 3 years ago was benign (negative)? The risk of thyroid cancer is low, with each nodule having an apprx. 5% chance of cancer. Odds are good that u are dealing with a benign process but u should followup as soon as you can get insurance to have this re-evaluated. Look around to see what's available to u. There are clinics that give deep discount for self-pay or free at med school. ...Read more
How is goiter treated? Early goiter with small nodules. Gives me headaches and breathing problems daily at random intervals.
Goiter: How do you know it is the goiter that is causing your symptoms? A small goiter with small nodules on ultrasound probably needs no treatment, unless it is causing hypo/hyperthyroidism, or unless the nodules look suspicious of cancer (unlikely, if they are small). A goiter has to be really big to cause breathing problems. Talk to your Endocrinologist or PCP. ...Read more
I have a multinodular goiter, biggest nodule 1cm/exophytic. Repeat US in 6 months. Did not suggest aspiration. Should I worry about malignancy?
If I have a hemi thyroidectomy for nontoxic multinodular goiter, the other lobe that is already mild enlarged will grow faster and forms nodules?
Goiter: Yes, the other side of your thyroid may grow. If your doctor treats you with levothyroxine, it may not grow as much, but there is a risk of making you hyperthyroid. It sounds like the remaining lobe also has nodules. Presumably the removed thyroid was free of cancer; why was the surgery performed? You probably should see an endocrinologist. ...Read more
My doctor wants to watch the isthmus nodule that came bk atypical benign foll cells...Its 2.7 with goiter. I want all out not wait for cancer...Help?
Find another doctor: You can always look and find another doctor/specialist who can get it removed. When in doubt, seek a second medical opinion! ...Read more
Worth checking: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. The complex cyst should be biopsied if there is any solid component. It may also be drained under ultrasound (us). Otherwise, just observe with yearly us. ...Read more
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