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Doctor insights on: Heterogeneous Solid Nodule Mass In Thyroid

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What does this mean solid heterogeneous well circumscribed nodule within the right lobe of the thyroid.?

Appearance of nodule: Unfortuantely, one cannot clearly determine the cause by the appearance: Solid= not fluid filled like a cyst. Heterogeneous: not uniform in texture. Well circumscribed: sharp margins and not growing into the thyroid tissue. Depending on whether there are multiple or only a single nodule and the size, a biopsy may be recommended to determine the cause, benign or otherwise. ...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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Can a mass on the thyroid be spread to the right lobe? Because I found out that there is a solid nodule on the right lobe of the thyroid

It can: As there are types of cancer that can readily spread locally even in the thyroid. Realize it's also possible to multiple thyroid nodule on both sides without any cancer too. It sounds like you need to review this with your doctor and possibly have a thyroid ultrasound completed to visualize the area. ...Read more

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Heterogeneous thyroid, my ultrasound stated that diffusely heterogeneous thyroid with no discrete cystic or solid nodule identified.

Heterogeneous thyroid, my ultrasound stated that diffusely heterogeneous thyroid with no discrete cystic or solid nodule identified.

May be autoimmune: Heterogeneous thyroid on ultrasound refers to a thyroid that looks mottled with both dark and light areas throughout. This is a typical finding in people with autoimmune thyroid disease such as hashimoto's thyroiditis or grave's disease. It sounds like there is nothing suspicious that would require biopsy. ...Read more

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If a solid heterogeneous nodule on the thyroid is benign and not causing TSH levels to change but is growing rapidly, what is it?

If a solid heterogeneous nodule on the thyroid is benign and not causing TSH levels to change but is growing rapidly, what is it?

Re-evaluation: If a nodule is "growing rapidly", it will need to be re-evaluated. Most likely it will need to be re-biopsy. Most of the time, a cancer can just be a speck in the nodule instead of the whole nodule so a biopsy might have missed it the first time. ...Read more

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Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Possible biopsy: Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Most findings are benign and typically are cysts. Biopsies are done routinely for solid nodules to make sure they are benign or not. You may require some thyroid replacement but thyroid blood tests are also required. She your primary or an endocrinologist since they specialize in thyroid issues. Good luck ...Read more

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Does a homogeneous or heterogeneous solid thyroid nodule have more cancer risk? I see lots of info on heterogeneous but not on homogeneous.

Does a homogeneous or heterogeneous solid thyroid nodule have more cancer risk? I see lots of info on heterogeneous but not on homogeneous.

Depend solid or cyst: Thyroid nodule either solis or cystic and that could be done by ultrasound next it has to be classified as cold or hot or warm and that could be done by thyroid scan if it is solid and cold have higher tendency to be malignant oat of thyroid nodules are benign if it is of some concern the doctor will perform fine needle aspiration to exclude malignancy you should be under doctor carei ...Read more

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I had a thyroid ultrasound that found a circumscribed solid heterogeneous largely isoechoic nodule with cystic mild internal color flow 26x16x19?

I had a thyroid ultrasound that found a circumscribed solid heterogeneous largely isoechoic nodule with cystic mild internal color flow 26x16x19?

Nodules: Such as yours should be considered for ultrasound guided needle cytology (aspiration cytology) when they are larger than 2 cm. ...Read more

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Thyroid ultrasound says I had a 12 mmx6 mmx5mm peripherally vascular nodule in my left lobe that was heterogeneous. Partly solid/cystic. Cancer?

Thyroid ultrasound says I had a 12 mmx6 mmx5mm peripherally vascular nodule in my left lobe that was heterogeneous. Partly solid/cystic. Cancer?

Endocrine surgeon: Best to see an endocrine surgeon who will do fine needle aspiration under ultrasound and the start the work up by seeing what the FNA results show. Make sure you follow up with this quickly. ...Read more

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Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Yes it's possible: Any thyroid nodule over 4 cm needs to be removed surgically to make sure not cancerous per ata guidelines. I would still get a fna first before going to surgery but needs to be removed. More info on my website on thyroid nodules at www. Cvsurgicalgroup. Com. ...Read more

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Had thyroid us. I felt a constant lump in throat. Have "complex hypoechoic nodule (solid mass) 3.9x1.5x1.1cm (l) & 4.5x1.5x1.4cm (r)." can it be cancer?

Had thyroid us. I felt a constant lump in throat. Have "complex hypoechoic nodule (solid mass) 3.9x1.5x1.1cm (l) & 4.5x1.5x1.4cm (r)." can it be cancer?

Possible: Nodules that size although most often not cancer need to be evaluated further. Bilateral or multiple nodules are more likely to be benign. Next step should be fine needle biopsies (fna). This is just what it sounds like- a small needle placed into the nodule to obtain some cells for pathology. If benign, can leave alone. But if having symptoms simply from size of nodule might still need surgery. ...Read more

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Solid heterogeneous thyroid nodule 15mm to 3cm in 2 years and normal TSH levels. If it is cancer, could it have spread over the 2 years? Fna tomorrow.

Solid heterogeneous thyroid nodule 15mm to 3cm in 2 years and normal TSH levels. If it is cancer, could it have spread over the 2 years? Fna tomorrow.

Unlikely: Thyroid nodules are a fairly common finding. In the setting of a normal tsh, an fna is the appropriate next step. The good news is the very large majority are benign. An fna is the only way to know for sure though. Best of luck! ...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?

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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What is the treatment for a well defined heterogenous psychoechoic slightly solid thyroid nodule?

What is the treatment for a well defined heterogenous psychoechoic slightly solid thyroid nodule?

Monitor: Depends on the size of the nodule, you might need a biopsy to make sure it is benign. At the very least, you need to follow the nodule with another ultrasound in a year to make sure it is not growing or significantly changing. The only curative treatment is surgery which is the decision between you and your physician. ...Read more

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Small thyroid, heterogenous in echotexture. No mass.? small nodularity inferior lobe. RT nodule or heterogeneity gland. Need interpretation

Small thyroid, heterogenous in echotexture. No mass.? small nodularity inferior lobe. RT nodule or heterogeneity gland. Need interpretation

May need follow up: The provider who ordered the study should have been able to explain the findings to you and whether or not you need any follow up. There is a possibillity you may need a follow up test that looks at whether the areas of nodularity are active hormone producing tissue or whether they are cold spots in the thyroid. Cold spots often have to be looked at in more detail. ...Read more

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Pls help with thyroid ultrasound report? Solid ovoid heterogeneous nodules in left & right lobe. Sizes: 5.0x1.5x1.9 cm, 8x4x7 mm, 6x4x5 mm -lesion.

Biopsy: In the event of a solitary thyroid nodule that is larger than 0.5 to 1 cm, or in the case of multiple thyroid nodules in which there is a dominant nodule, an ultrasound-guided fine needle aspiration biopsy is warranted. Multiple nodules is most commonly associated with benign goiter, the nodules you describe warrant a fine needle biopsy for specific diagnosis and treatment recommendations. ...Read more

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I had a sonogram of my thyroid. I have 9 nodules/cyst. 2 solid hypoechoic heterogeneous nodules. What does this mean? Cancer?

Common problem: Nodules of the thyroid are common, especially in women. Most thyroid nodules are benign. "solid", "hypoechoic", "heterogeneous" nodules are the most common ones seen. If they are large enough (at least 1 cm), we typically recommend doing a fine needle biopsy to make sure they are benign. ...Read more

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My ultrasound showed cervical lymphadenopathy and hetergeneous ill-defined solid thyroid nodule. Could this be cancer?

Needs med Evaluation: You should go see your doctor and get further investigations. The thyroid nodule may need a biopsy which is best arranged after visiting an endocrinologist or thyroid specialist (ent doctor). ...Read more

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Ultrasound shows that I have large solid nodules in right and left thyroid lobes. Hypoechoic and heterogenous. Isthmus measures 7mm, is it malignant?

Thyroid nodules: Can't say for sure, but in a multinodular gland, unless one particular nodule is "dominant" or stands out because of suspicious features, they are presumed benign. Sometimes a nuclear medicine thyroid scan will identify a particular nodule to biopsy if it is "cold" on the scan ...Read more

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What do thyroid US results mean? Homogeneous echogenicity. Multiple nodules bilaterally, no cysts ID'd. Heterogeneous parenchyma w/bilateral nodules.

Thyroid nodules: Did they measure the largest nodules? Thyroid nodules are fairly common, and the vast majority of them are not cancerous, but if one is above 1 cm, a biopsy may be considered (there's some variation in how thyroid nodules are managed). Some can give you hyperthyroidism. I'd speak with your doctor or an endocrinologist about further steps. ...Read more

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Thyroid nodules that is complex and solid nodule. What should I do?

Thyroid nodules that is complex and solid nodule. What should I do?

FNA biopsy: If you have a solid complex should have biopsy, fna a simple as Aspirin with syringe done in office. Thyroid cancers has excellent prognosis, please see your doctor, do not worry. ...Read more

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What to do if I have 5 solid thyroid nodules more than a year ago, what happens if I left them untreated?

Depends: Most thyroid nodules are innocent. Unless there is cancer, no treatment is necessary. Having multiple small nodules is very unlikely to be cancer. ...Read more

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Thyroid glands are diffusely heterogeneous with generalized increased vasculanity? There are no distinct nodules.

Thyroid glands are diffusely heterogeneous with generalized increased vasculanity? There are no distinct nodules.

Ask your DR if u: Have grave's disease or hashimoto's thyroiditis. I won't worry much. Meds will be adjusted based on your TSH & symptoms. Best wishes! ...Read more

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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. Nonspecific heterogeneity may be thyroiditis or Graves Disease. See Endocrinology for follow up. ...Read more

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Hi, I recently found out I have 'multiple' thyroid nodules, it reads very heterogeneous w/prominent internal flow two of them measuring 1cm.

Multinodular goiter: This is fairly common and usually is quite benign. The imaging specialist can advise as to whether and need to be needled fr duagnosis. ...Read more

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Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Not likely: Cancer is not likely but you should follow your doctor's advice for further evaluation, be that a thyroid scan or fine needle aspiration of the lesions. ...Read more

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Have 4 nodules in thyroid, 2 benign, 2 hypervascular. One is mildly heterogeneous and 11x11x10 mm. Not seeing endo for months. Need action sooner?

Have 4 nodules in thyroid, 2 benign, 2 hypervascular. One is mildly heterogeneous and 11x11x10 mm. Not seeing endo for months. Need action sooner?

See an ENT doctor: Either endo or ENT doctor can investigate your thyroid problem and the treatment will come from an ENT surgeon (head and neck surgeon is another alternative). Even a good internist can help you get checked and treated sooner. ...Read more

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A 5x5x5mm nodule right upper thyroid no internal flow. Well circumscribed hypoechoic /heterogeneous 1.4x1.4x1.6cm nodule post right. Is the cancerous?

A 5x5x5mm nodule right upper thyroid no internal flow. Well circumscribed hypoechoic /heterogeneous 1.4x1.4x1.6cm nodule post right. Is the cancerous?

Depends: We recommend biopsying any thyroid nodule over 1cm to make sure not cancerous. So I would not worry about your 5mm nodule but just have an ultrasound guided fna (fine needle aspiration) of your 1.4mm nodule. ...Read more

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I have 3 nodules on thyroid largest measuring 7x5x6 CM, the left lobe is replaced by a solid nod 5x2x2. Can I ask for complete removal of thyroid?

Not yet: Toxic nodules ('Hot') should be calmed and make sure not cancer. Toxic multinodular goiter is rarely treated acutely with removal unless painful or compressing structures. ...Read more

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Is a heterogeneous thyroid nodule cancerous?

Possibly: Each thyroid nodule has an approx. 5% chance of malignancy, thus a heterogenous could be cancerous. Looking at it the other way, a heterogenous nodule has a 95% chance of not being cancerous. ...Read more

Dr. Scott Keith
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