Doctor insights on:
Goiter And Nodules
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
Prominent vessels in lobe of thyroid, nodule on other lobe, hypothyroid, inconclusive fna of nodule?
Have thyroid goiter and inflammation. No nodules. Feel lump in throat. On Synthroid (thyroxine) 75mcg for hashimotos. Can you have thyroid cancer with no nodules?
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 moreSee 2 more doctor answers
Sono showed dominant nodule is a heterogeneous nodule. Evidence of hypoechoic on left and right lobes. Multinodular goiter with all nodules over 1cm. Can this be thyroid cancer.
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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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