Doctor insights on:
Hypervascular Thyroid Nodule
Thyroid US results: It is hard to interpret a thyroid ultrasound, especially online. Your profile says "hypothyroid and raised antibodies". This could mean Hashimotos, and the US is consistent with that. A 12 mm nodules is small, and could be consistent with the scarring in a Hashimotos gland, but this requires review by an Endocrinologist. ...Read more
Hi. I was found incidentally to have a thyroid nodule. Upon ultrasound I have a few however midpole has a 18mm hypervascular nodule. I have a left sid?
IS YOUR QUESTION?
It's unclear what your question is...ask again with more detail.
Dr z ...Read more
What's your opinion on doing a fna biopsy on a thyroid nodule that is "ill-defined" and "hypervascular" but only 6 mm?
Do it: I've seen plenty of cancers that are plenty smaller. ...Read more
FNA results 2.4cm thyroid nodule was FLUS. Please explain good vs bad for US. Mildly hypervascular solid circumscribed. Histo is microfollicles.?
Referral: Most thyroid nodules are benign and this is a common problem. However, this can be serious. Usually a fine needle aspiration biopsy (FNA) will determine if the nodule is cancerous or benign. This test can get right to the bottom of the issue. Often an ultrasound is needed to determine the characteristics of a thyroid nodule. You need a pathologist and radiologist you can trust! ...Read more
I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?
Thyroid nodule with microcalcification&hypervascularity have a likelihood of being Cancerous in about approx 5.3 % of cases according to literature. Ask your endocrinologist for Biopsy
We really need other teatures like irregular or regular border, Pattern of calcifications like few few or snowstorm parttern, minimal or high internal flow
These are other features taken into account to prediction ...Read more
Hello I recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?
Biopsy: Hi. Assuming your thyroid function is normal (not hyperthyroid), the thyroid nodule you describe needs fine needle aspiration biopsy for cytology (and hopefully genetic testing) to see if it's cancer. If it's not cancer, you can leave it in and just follow it, and thus avoid surgery for a non-cancerous tumor. I have to assume that whoever ordered the ultrasound has told you that you need FNAB. ...Read more
I have a 4.5 x 3.5 thyroid nodule: solid, hypervascular. My tgab is at 70 and TSH is 3.15. I am symptomatic. Is this a cancer marker?
No: Tgab and TSH are not cancer markers. It's important to know if the nodule is 4.5 cm or mm? If cm, you should get an ultrasound guided biopsy. If mm, it is very small and just need surveillance. If you are young and already symptomatic with a 4.5 cm thyroid mass, surgery is an option for you. Please discuss all this with your doc. ...Read more
Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?
What thyoid labs?: There are many thyroid labs and most docs do not check enough of them? This ultrasound is consistent with grave's disease and thyroiditis. With grave's standard thyroid tests would usually be abnormal but might look ok with thyroiditis. Please make sure anti-thyroid antibodies (anti-tpo and anti-thyroglobulin) have been checked, as well as free t3 (liothyronine) and reverse t3 (liothyronine). ...Read more
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read more
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read more
Yes if ignore it: See your doctor, after evaluation, possible FNA biopsy then you don't you don't have to be concerned. ...Read more
Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us). It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it. While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers. But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules. ...Read more
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