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Doctor insights on: Goiter And Nodules

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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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Are isoechoic and hypoecoic nodules and cysts cancerous?

Are isoechoic and hypoecoic nodules and cysts cancerous?

Are you referring: to breast ultrasound? Simple cysts are benign, cysts with solid components are more suspicious. Isoechoic and hypoechoic masses can be benign or malignant. The probability of malignancy depends on other ultrasound features. Some need biopsy, some can be followed or ignored. ...Read more

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Are cold thyroid nodules cancerous?

Are cold thyroid nodules cancerous?

Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read more

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Thyroid nodules and cancer. What % of nodules are cancer?

Thyroid nodules and cancer. What % of nodules are cancer?

Varies: The likelihood of a thyroid nodule being cancer is about 10-20%. The incidence is higher with prior history of radiation (20-40%) and in patients with multiple endocrine neoplasia. ...Read more

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Can thyroid nodules shrink?

Yes.: Most thyroid nodules remain stable over many years. Some can increase in size and some can decrease. It depends on the composition of the nodule. ...Read more

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Are thyroid nodules with microcalcifications always cancerous?

No: Thyroid nodules with calcifications need to be fully evaluated, but just because they have calcifications, doesn't mean that they are cancerous. Don't delay, get evaluated. ...Read more

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Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...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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Can size of thyroid multinodular goiter be reduced?

Can size of thyroid multinodular goiter be reduced?

Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more

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What causes microcalcification in thyroid nodule?

What causes microcalcification in thyroid nodule?

Hmm: Microcalcifications in a thyroid nodule are from small calcium deposits in the cells. Thyroid cancer can be associated with this finding, however, benign nodules can also have them. A nodule with microcalcifications should have a fine needle aspiration to help diagnose which it is. ...Read more

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Are thyroid nodules moveable?

Part of the gland: They will move upward with the rest of the gland when you swallow, and you can move them just as you can move your larynx and trachea once you know your way around your neck. Your physician can help you make the distinction from a lymph node or other mass. ...Read more

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With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

Increased likelihood: Yes, likelihood of thyroid CA is increased with chronic thyroid disease like yours. It does not mean though that you already have or definitively will have CA, but you MAY develop it. You must be monitored to have a chance to catch CA early. At this time the only advise I give is to be consistent with your treatments and follow ups as it is recommended by your treating MD. ...Read more

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Are solid nodules of the thyroid usually biopsied?

Thyroid nodules: Thyroid nodules are common, and most are benign. Work up may involve a thyroid scan; if the nodule does not take up iodine, it is more suspicious. Some ultrasound features suggest more suspicion, and your doctor will want to biopsy those. Hashimotos thyroiditis can sometimes make a gland nodular, but hashi gives a different us appearance, and may have positive tpo antibodies. ...Read more

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Will a surgeon remove thyroid nodules 3.0cm heterogeneous solid ifwith diffussly enlarged thyroid if fna comes back ok. I have hashimoto thyroiditis?

If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultrasound. There are other factors as well, and best discussed with your endocrinologist. ...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

Dr. Steve Martinez
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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