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Doctor insights on: Dominant Cold Nodule And Reduced Activity Of The Thyroid Gland

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I got thyroid results today and it was " Diffusely heterogeneous thyroid gland without discrete dominant nodules." what does that mean?

I got thyroid results today and it was " Diffusely heterogeneous thyroid gland without discrete dominant nodules." what does that mean?

Heterogeneity: Heterogeneous means the size is irregular in terms of thickness throughout. Homogenous is the opposite and would mean the gland is uniform in size. Nodules are important to find because they can be functional or "hot" nodules that secrete too much thyroid hormone. May be thyroiditis. See endo for follow up. ...Read more

Thyroid Gland (Definition)

It is an endocrine gland which produces thyroxin hormone which controls the metabolism in every cell in the body. It produces 80 to 90%t4 and 10 to 20 %t3. These control rate of metabolism and affect the growth and rate of functions of many cells in the body it is ...Read more


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I'm 20wk preg. Having cold nodules on thyroid gland. Will go for biopsy. On thyroxine tablets. No swelling. Is it cancerous and hope baby is fine.?

I'm 20wk preg. Having cold nodules on thyroid gland. Will go for biopsy. On thyroxine tablets. No swelling. Is it cancerous and hope baby is fine.?

Pregnancy: Thyroid cancer in pregnancy is uncommon. Most thyroid cancers diagnosed during pregnancy can be observed until delivery. If there is a positive biopsy and aggressive clinical behavior (spread to lymph nodes) then surgery during the 2nd trimester might be considered. If this becomes the case, see a surgeon who has experience either this unique situation. ...Read more

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Are all thyroid gland nodules harmless?

Are all thyroid gland nodules harmless?

Thyroid nodules: A very small percentage of thyroid nodules can be cancer. That is why your doctor will examine them with ultrasound and perform needle aspiration biopsy on them. If the nodule is suspicious appearing, it may need to be surgically removed. However, most are harmless. You may need to see an endocrinologist. ...Read more

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How can my thyroid gland have a nodule, but I can't feel it?

How can my thyroid gland have a nodule, but I can't feel it?

Size: If it's small and centrally located, you might not feel it. Ultrasound is the best way to "pick up" or detect these small nodules. ...Read more

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Decrease in thyroid gland size and increase in thyroid nodule size?

Decrease in thyroid gland size and increase in thyroid nodule size?

Concern: Thyroid gland do not change in size that much. Majority of thyroid nodules are benign, increase in size is a concern, should have fna biopsy (cytology) to make sure there is no malignancy in it. ...Read more

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For thyroid gland is boarderline enlarged. Right has single nodule likely adenoma. What does this mean?

For thyroid gland is boarderline enlarged. Right has single nodule likely adenoma. What does this mean?

Probably benign: Many thyroid glands are enlarged, and borderline means just slightly above normal size. The only way to tell if a thyroid nodule is benign or cancerous is with a biopsy. While some other tests may suggest it is benign the biopsy is the best way to tell. ...Read more

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I'm on Euthyrox for life cz if I stop I get nodules in my thyroid gland. That's all I know. Would you please explain more about my condition? Thank you

Probably not related: If you require thyroid hormone for life, then stopping it may result in an increase in the overall size of your gland (a goiter) which should shrink when you restart the hormone, but nodules are generally not caused by stopping thyroid hormone. You should check with an endocrinologist about this. ...Read more

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Thyroid gland slightly enlarged but has homogeneous texture. Right nodule noted 0.5 × 0.3 × 0.3. No hypervascular on doppler in both gland what isit?

Follow up nodule: thyroid nodules are very common especially in older patients. The vast majority are not cancer and just hyper plastic nodules (overgrowth of normal tissue). In young patients like yourself thyroid nodules should be watched more closely. A nodule less than 1 cm in size does not require biopsy unless there are suspicious features such as calcification or increased blood flow. Talk to your doctor. ...Read more

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Exophytic nodule posterior to rightllobeof thyroid gland increase in size from 2cm to 2.2cm how serious is this situation.?

Exophytic nodule posterior to rightllobeof thyroid gland increase in size from 2cm to 2.2cm how serious is this situation.?

Get a biopsy: It is impossible to answer without actually seeing the imaging, the duration over which the nodule grew, or any other symptoms. Benign exophytic nodules are not uncommon, but a biopsy will help determine if there is something to be concerned about. ...Read more

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Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????

Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????

Lobe enlarged: This should be of no significance if your thyroid hormone levels are all normal. There are no suspicious findings of benign or malignant growths. If you have further concerns a thyroidologist or endocrinologist would be best qualified to evaluate and advise you. ...Read more

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I am being tested for a nodule "outside" the thyroid gland, not "in" it. I have several symptoms for the last 2 years. Throat or thyroid?

Nodule: Could be many different things including ectopic thyroid nodule, parathyroid gland or lymph node. An fna (fine needle aspirate) may be helpful and would allow a pathologist to evaluate cells from this nodule. Best of luck. ...Read more

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Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. What does all this mean? FNA recommended.

Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. What does all this mean? FNA recommended.

Means abnormal test: Ultrasound is a commonly used test for detection of Throid nodules which are quite common. So when the ultrasound shows a Thyroid nodule, it needs to be monitored and often a Biopsy is required to find out if the nodule is benign or cancerous. FNA is one such technique for obtaining a biopsy for making a diagnosis. ...Read more

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Diffusely heterogeneous thyroid gland with multiple bilateral hypo echoic micro nodules. Increased vascularity. What does this ultra sound result mea?

Thyroidologist: A thyroidologist or endocrinologist is best qualified to evaluate and advise you about your thyroid status and ultrasound findings and to determine whether a needle biopsy and/or referral to a thyroid surgeon is advisable. As a rule multiple nodules are more apt to be benign as opposed to a single cold nodule in males. Follow-up in these cases are also important even after the first consultation. ...Read more

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Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more

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Would having thyroid nodules and an enlarged thyroid gland cause me extreme tiredness, I have not got an over or under active thyroid?

Would having thyroid nodules and an enlarged thyroid gland cause me extreme tiredness, I have not got an over or under active thyroid?

Look for another cau: If your thyroid is functioning normally (not under active) then the cause of your tiredness is not thyroid related. There are many other causes that only your doctor can define/address by examining you and testing your lab. Make sure that you are not anemic (check cbc) and your emotional health is normal and that you are sleeping well. Anyone of these can be cause for day time fatigue and need attent. ...Read more

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


Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more