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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Don't worry--Treat!: 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
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?
Not likely: 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 moreSee 1 more doctor answer
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
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