Doctor insights on:
Does Calcification In Thyroid Nodules Mean That You Have Cancer
It depends: It depends upon the pattern of the calcification. "eggshell" calcification, where there is a thin calcific rim around the the nodule is not associated with an increased risk of cancer, while "microcalcifications" inside the nodule are associated with a much higher risk of cancer, 50-100%, compared to 5% for nodules in general. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
1.3cm thyroid nodule with multiple punctate calcification, ear pain, lump feeling in throat, cancer chance?
At first, most probably you should have ultrasound guided fine needle aspiration after consultation with your physician.
Calcifications can be seen in benign nodular goiter.
So, continue evaluation of your thyroid nodule, to rule out thyroid cancer, follow all tests what your physician ask you to do.
Thanks for question. Stay well. ...Read more
I have a heterogeneous hypoechoic thyroid nodule with solid components, internal vascularity and calcifications. Is there a chance this is cancer?
Yeah some: Wife had biopsy for this this week. Chance is low but that warrants a biopsy. ...Read more
3.5cm thyroid nodule, ultrasound found solid mass and fluid filled cysts w/ calcifications. Lymph node near carotid. Could it be cancer? Still waiting
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
In order: To determine whether the nodule is taller than wide, you need to specify the orientation of those measurements: Anterior-posterior (AP), transverese (T), and longitudinal. If the AP/T ratio is greater than 1, the nodule is taller than wide. An A/P >1 does not necessarily mean cancer, but along with other features, may indicate the need for FNA biopsy. ...Read more
My husband has been diagnosed with thyroid nodules which are solid and have micro calcifications. What does this mean?
Needs a biopsy: The most common form of thyroid cancer (papillary) has certain features on us that let us know if a nodule is worrisome. Microcalcifications is one of them. He should have a biopsy. Although thyroid ca is generally curable, it is a bit more serious in males than females and thus this should be followed up with a u/s guided - needle biopsy by an experienced physician. ...Read more
What does it mean if there is 2 thyroid nodules in a child (12)? Is it most likely cancer? Or is it less likely cancer?
Less likely...: But answer depends on over all personal, family hx. ...Read more
Tumor vs. Ca++: A thyroid nodule is a growth in the gland composed of thyroid tissue that might be undergoing change to a premalignant or malignant form. In certain growths or possibly traumatic sites the tissue allows for the deposition of calciuim into the area or growth and is most often associate with a benign process taking place in the thyroid gland. ...Read more
I have a thyroid nodule that has increased in size from mm's to 1.6cm and hypoechoic associated with calcification. Increased blood flow also?
Needle Biopsy: It is likely that there will be a recommendation for a needle biopsy of the nodule. This is done usually under ultrasound guidance and local anesthesia as an out-patient procedure. If there is evidence of a cancer then further treatment such as surgery will be required. Good luck. ...Read more
Subcentimeter hypodense nodule on left thyroid lobe with coarse focus of calcification---subcentimeter left thyroid nodule. Non-specific in nature.
Thyroid nodules: Most nodules less than 1 cm are not concerning and can be monitored with periodic ultrasounds. Some features such as calcification may heighten concern. Much more information is necessary in your situation. Is there family history of thyroid cancer, personal history of hyper or hypothyroidism, and radiation exposure? You need to discuss this with an endocrinologist and arrange a treatment plan. ...Read more
How is it a 20 yr old (so called benign) thyroid nodule have new calcification and may now be cancerous? Why not take it out years ago? Very upsettin
Need bx: Thyroid nodules are not uncommon. The rule is that multiple nodules are considered related to goiters and are benign. A solitary nodule has the potential of being or becoming cancerous. If I find a solitary nodule that is cold I suggest removing it. It can be a benign adenoma, but if left can convert to a carcinoma over time. ...Read more
What are the chances of a hypoechoic, solid, internally vascular thyroid nodule with calcification, of being cancerous? Biopsy is scheduled next week
Thyroid: The, presence of calcification and your age makes it very unlikely it is cancerous ...Read more
Hi I've had a fine needle biopsy on a 7mm thyroid nodule with heterogeneous echotexture, central calcification. Should I be concerned, please answer.
No: If there was no evidence of malignancy you should not be concerne. ...Read more
Evaluation: A growing nodule should undergo a fine needle aspiration under ultrasound. If positive for cancer, then proceed to surgery. If negative, it should be followed serially with ultrasound to track for changes. If no changes on subsequent ultrasounds and it's not causing breathing or swallowing problem, you might not need to do anything. ...Read more
It depends: There are many factors which affect a given nodule's risk of being a thyroid cancer. These include size, and other features visible on us (ultrasound) and patient age. Because women have many more being benign thyroid nodules than men, the risk for any one nodule is higher in a man. For a typical 1-2 centimeter (1/2-3/4 inch), that risk might be about 4% in a woman, or about 8% in a man. ...Read more
With regards to cancer, peripheral vascularity versus intranodular vascularity in complex thyroid nodule. Explain difference.
It is tough to fully understand your question.
Do you have a thyroid nodule? Do you have thyroid cancer?
Peripheral vascularity versus intranodular vascularity in complex thyroid nodule - is that something your doctor (s) have told you or is this some research you are exploring?
Please keep in touch with me if you don't mind. ...Read more
Male with dominant homogenous solid thyroid nodule in midpoint that measures 1.1x1.3x1.7. Does this indicate a high cancer risk? Are most benign?
Most are benign: Hi. Yes, most nodules with those characteristics are benign. I'll assume you're not hyperthyroid (hyper-functioning nodules are NEVER cancer). Nevertheless, the chance of cancer is high enough (about 10-15% for nodules like that) that you MUST get it biopsied (non-surgical needle biopsy with gene testing is recommended). Don't ignore it, and don't ASSUME benignity. Cheers! ...Read more
Not 100%: If the nodule is still in your neck, there is no way to know that it is 100% benign. Even if you had a biopsy before and it came back benign, there is still a chance that the spot of cancer was missed during the first biopsy. This is why we don't "poo poo" it away after 1 biopsy but continue to follow the thyroid nodule to monitor for size changes. All said, the risk of cancer is very small. ...Read more
Options: You could rebiopsy. Maybe this time, also send out one tube for gene expression (molecular cytopath) to aid in the diagnosis. You could also go for surgery with biopsy taken while under anesthesia (frozen section) and proceed with total thyroidectomy if the intraoperative biopsy showed cancer. You could follow closely with ultrasound and rebiopsy if changes are seen with the nodule... ...Read more
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