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Doctor insights on: Explain Surgery For Thyroid Nodule Goiter

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Can huge hypervascular thyroid nodule be goiter?

Can huge hypervascular thyroid nodule be goiter?

Yes: By definition, any enlargement of the thyroid gland is a goiter. So if the nodule is causing the thyroid to be enlarged, there is a goiter. The question is, what is the cause of the nodule? Sounds like a biopsy is in your future. ...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


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A solid benign thyroid nodule that is not a goiter and normal TSH levels. What is it?

A solid benign thyroid nodule that is not a goiter and normal TSH levels. What is it?

Nodule: I presume its been biopsied. If its benign it likely represents inflammation from autoimmune thyroid disease. Continue to monitor it carefully - if it is single and getting larger it may require a second biopsy or removal. ...Read more

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Are thyroid nodules same as goiter?

Nodules and goiter: A nodule is a knot. You can have 1 or multiple in the thyroid. Goiter means an enlarged thyroid. Hence, you can have multiple nodules causing what is known as a mulitnodular goiter. ...Read more

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What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?

Thyroid: Thyroid nodules are projections from the gland can be 'hot' or 'cold' meaning they may or may not function and produce hormone. These need follow up. Goiter is when the gland is enlarged and this can occur from iodine deficiency and other entities. ...Read more

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Does a single solid thyroid nodule grow rapidly if it is benign? The nodule is not a goiter. Tsh levels are normal.

Does a single solid thyroid nodule grow rapidly if it is benign? The nodule is not a goiter. Tsh levels are normal.

Nodule: A single rapidly growing thyroid nodule is concerning regardless of thyroid function. If it has doubled in size in a short time or measures over 1 cm it necessitates a biosy to rule out malignancy. ...Read more

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Can having a goiter and thyroid nodules make you feel unwell. .im so exhausted, my blood tests are not showing I have an under or over active thyroid?

Can having a goiter and thyroid nodules make you feel unwell. .im so exhausted,  my blood tests are not showing I have an under or over active thyroid?

Unlikely: Nodules of the thyroid usually produce no symptoms unless they are very large and pushing on your breathing or swallowing tube. If thyroid blood tests are normal, it means that your tiredness is related to something else. Other common causes are anemia, depression, diabetes, lack of exercise. You should see your doctor for evaluation. ...Read more

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Hashimito's plus thyroid nodule. FNA benign 1 year ago. repeat ultrasound shows thickened isthmus from what was 4 MM to 6MM. is this same as goiter?

Possibly: Hashimoto's thyroiditis is chronic lymphocytic thyroiditis based on autoimmunity. On gross examination, there is often a hard goitre, not painful . Goiter is an abnormal swelling of thyroid resulting in a lump in the neck. It arises from many causes, including under- or overactive thyroid, iodine deficiency and, rarely, thyroid cancer If nodule enlarges and is cold may need bx again ...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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Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?

MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. Thats high. I would see a surgeon to discuss if this warrants thyroidectomy. thanks ...Read more

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If I have a thyroid nodule that is suspected to be cancerous, do I have to get surgery?

If I have a thyroid nodule that is suspected to be cancerous, do I have to get surgery?

Yes: All thyroid nodules that are solitary and on scan are considered to be cold and not actively producing hormone have the potential to become malignant. As one gets older if there is a malignancy it tends to be more aggressive so that with spread to nodes there can be compliations. In the 20 age group tumors are less aggressive with cure rate high. leaving a benign adenoma can result in cancer ...Read more

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Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Should a heterogeneous thyroid nodule measuring 23x12x20mm be biopsied thyroid surgery partial

Biopsy: I agree. A nodule this big should be biopsied. Chance of malignancy is low but you need to do it to find out. ...Read more

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Does 4.5cm thyroid nodule require surgery?

It may: But the first step for a solid nodule of this size is usually fine needle biopsy. If the nodule is benign surgery may still be needed if the nodule causes problems with swallowing or other symptoms. ...Read more

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How can i shrink a benign thyroid nodule without any surgery?

How can i shrink a benign thyroid nodule without any surgery?

?: You are not going to shrink a nodule. But you do not necessarily need removal either. Better return to doctor to discuss your concerns ...Read more

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Should surgery be done for uncertain 3cm thyroid nodule? What are the possible complication in future if surgery is not done?

Should surgery be done for uncertain 3cm thyroid nodule? What are the possible complication in future if surgery is not done?

Biopsy: Has a biopsy been performed already? If so, and the results are uncertain, you should discuss this case with both an endocrinologist and with a surgeon. Complications from thyroid surgery are rare. Mortality from thyroid cancer is very low, but certain types of thyroid cancer can metastasize, and that is something you want to avoid. ...Read more

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Alternatives to surgery for solid thyroid nodule?

Depends: It would depend on the nature of the nodule. You may opt for a fine needle aspiration for initial diagnostic work up. If it is benign there may be no need for surgery. Do discuss the matter with your doctor. ...Read more

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My thyroid nodule fna came back as "benign follicularadenoma." I thought follicular growths had to be examinedthrough surgery. Are these results accurate?

My thyroid nodule fna came back as "benign follicularadenoma." I thought follicular growths had to be examinedthrough surgery. Are these results accurate?

Gray area: Thyroid fna can be difficult for a pathologist, on the limited sample, to be confident that the nodule is benign. For that reason, the pathology report may leave open the possibility that it is either benign or malignant. There is no absolute right or wrong, and it can depend on the experience and decisiveness of the examining pathologist. ...Read more

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Thyroid nodule "suspicious" of being cancerous, Do I need surgery?

Thyroid nodule "suspicious" of being cancerous, Do I need surgery?

Not yet: Hi. You don't need surgery yet. First you need a fine needle aspiration biopsy (FNAB). Ultrasound findings can make cancer less or more likely, but cannot confirm or exclude the diagnosis of thyroid cancer. And if it's NOT cancer, surgery would not indicated. FNAB with gene testing would be the most prudent next step in almost every case. Good luck! ...Read more

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I have a complex thyroid nodule that was much smaller but has grown to 2.9 CM (it was less than a CM 7 years ago) and I can feel it, do I need surgery?

FineNeedle aspiratio: 4-7 % thyroid nodules can be cancerous. What was your TSH levels. Was a fine needle aspiration (FNA) ever performed on this nodule? If TSH IS NORMAL get FNA! If TSH lower than normal get Nuclear Thyroid Scan. If scan shows non functioning nodule...then get FNA. If FUNCTIONING NODULE check FT4 and T3 (liothyronine) levels. Good luck. ...Read more

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I was told I had a benign follicular adenoma after a fna on my thyroid nodule.  is it possible to know this without surgery?

Cytology: Looking at a cellular aspirate is the first line test for evaluating a thyroid nodule. It should be collected under ultrasound guidance to ensure the sample is from the nodule. The accuracy is 90%. If there are doubts, the sample slides can be reviewed by a reference expert cytologist. Additionally, molecular testing can be done on material obtained at biopsy or on the pathology slides. ...Read more

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Dr. Steve Martinez
311 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more


Dr. Stephen Scholand
13 doctors shared insights

Thyroid (Definition)

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