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Doctor insights on: Echogenic Masses

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My wife had a thyroid ultrasound and showed heterogenous echogenicity, hypervascular thyroid gland.No masses or nodules. Any thoughts on what this is?

My wife had a thyroid ultrasound and showed heterogenous echogenicity, hypervascular thyroid gland.No masses or nodules. Any thoughts on what this is?

Could be Hashimoto's: Is the gland normal is size or enlarged? If normal-sized, could be hashimoto's. If enlarged it could be grave's disease, both of which are autoimmune diseases. She should find out if she's hypo- or hyperthyroid and have additional testing to see if she has hashimoto's. ...Read more

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Are all bladder masses cancerous?

Are all bladder masses cancerous?

No: There are several types of bladder masses but not all are cancerous. The definitive test to determine if the lesion is cancer is a biopsy. All bladder masses identified need to be biopsied and examined to determine if is malignant or benign. ...Read more

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How common are benign neck masses?

How common are benign neck masses?

Very: Almost everyone has a mildly enlarged lymph node ( s ) somewhere on their neck.It is a little tricky though.Let your doctor decide if the mass should be worked up. ...Read more

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Are ovarian cystic masses common in women under 40?

Are ovarian cystic masses common in women under 40?

Cysts are: Women produce small cysts, called follicles, on their ovaries every month. Ovarian cysts are very common, especially women of reproductive age. The vast majority of ovarian cysts are benign. When there is a soft tissue component (a mass that is partially cystic), it generally becomes more concerning as the soft tissue percentage increases. ...Read more

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I have a soft tissue masses in the scalp, what could be these?

I have a soft tissue masses in the scalp, what could be these?

Sebacious cysts: The most common soft masses found in the scalp are sebacious cysts. These are basically pimples that began deeper in the skin so instead of looking like a white head, they grow deeper and fill up like a tiny water balloon. Because they are deep in the skin they usually cannot be simply popped like a pimple but have to be opened and cleaned out and sometimes the whole sac has to be removed. ...Read more

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How can you distinguish between benign and malignant ovarian masses?

How can you distinguish between benign and malignant ovarian masses?

A challenge: There are many factors that may help in making this distinction. Age plays a big factor as masses in women over 50 are more worrisome. The type of mass is critical as solid or complex masses are more worrisome than simple fluid filled cysts. Size sometimes plays a role although this is less specific. In many cases you can't say 100% until they are out. ...Read more

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Can masses grow slow in the lungs without siptoms for more than five years even they are critical in sizes. ?

Can masses grow slow in the lungs without siptoms for more than five years even they are critical in sizes. ?

Yes: It depends what critical in size means. A growing cancer for example can double in volume every ninety days, but can start as a speck. On the other hand a scar can remain a scar for a long time and can develop into scar carcinoma later. There are other nodules or tumors which are not cancer and stay as they are. If not pressing on airways it may not cause symptoms. ...Read more

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Do all neoplastic masses, both benign and not, have vascularity of some kind? What ones have moderate vascularity?

Do all neoplastic masses, both benign and not, have vascularity of some kind?  What ones have moderate vascularity?

Need more details: Vascularity has to be related to the type of test/imaging method used. In general benign tumors are not supposed to be very vascular, malignant ones commonly are hypervascular. Yet these findings are not totally reliable, so a biopsy is the only way to tell the nature of what we are dealing with. ...Read more