Doctor insights on:
Increased Vascularity In Thyroid Nodule
Presence of hypoechoic area in hyperechoic thyroid nodule. What it indicates? Nodule has increased vascularity
Uncertain: There are various characteristics of thyroid nodules on ultrasound, including hyperechoic, hypoechoic, isoechoic, cystic, complex, vascular, calcified, microcalcifications. Unfortunately, none of them can tell you for sure whether the nodule is benign or malignant. In your age group, we would be recommending biopsy of the nodule if it is 1 cm in size or larger. ...Read more
What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?
I have a thyroid nodule. A scan revealed that it is solid with irregular borders, and I have increased vascularity, what does this mean?
FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC How accurate is this test?
Accurate if negative: It now appears that Afirma test result is clinically useful if it comes back as negative. I believe that the test may be associated with a higher false-positive results than false-negative results. Please check with your endocrinologist for an update. ...Read more
I have a thyroid nodule that is slightly larger than 1cm. It is on the right lobe of my thyroid. It is solid, calcified and has increased vascularity. I have had a biopsy, no results yet. What are the chances of malignancy? I also have a smaller nodule on
Thyroid nodule? CA: Chances are not zero. Need more information but I would not worry as you can't do anything about it till you get results of Biopsy. What did your team say? ...Read more
Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity - what does this mean?
Consistency: A lot depends on what has happened to this nodule over the last 20 yr. Any growth? Is the calcification new? The best scenario is where the US and FNA are all being done by the same person; sometimes the "reports" say different things when it is really not changed. Often the best person is an Endocrinologist who does this, rather than a radiologist who is not a thyroid specialist. ...Read more
Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity
3cm hyperechoic thyroid nodule with increased vascularity, normal TSH fnac- follicular cell with hyperplastic area. What it indicates?
Uncertain: The fna can only help if it shows cancer. But in your case it is ambiguous, so your doctor should guide you what to do next? ...What did he/she suggest as the next step? Most doctors would next recommend either surgical excision or monitor closely for some time and see if it is growing in size in which case it has to be taken out. ...Read more
Thyroid nodules. 17x10x14mm Hoarse voice. Microcalcification w/ mild increased vascularity. Hoarse voice. Labs normal. FNA next week. Cancer? Thanks
Are heterogeneous complex thyroid nodules degenerating adenomas and have to be removed if peripherally vascular?
34 Yr old M. Dominant Homogeneous Solid thyroid nodule measuring 1.1x1.3x1.7 cm. Somewhat hyper-vascular. Appt. 8 weeks away. Recommended steps? Risk?
If fast growing: Or if you have symptoms, I would find another specialist to see sooner. If you call the one that is 8 weeks away several times this coming week, you will likely get in earlier due to a cancellation or just based on persistence alone. ...Read more
Hyperplastic nodule: This sounds like a hyper plastic nodule. These are usually benign. In the absence of prior studies, this usually is followed up to show it's stable nature. If it changes or grows it would need a biopsy. Nonetheless would suggest an in depth discussion with your doctor ...Read more
It depends: Thyroid nodules are mostly (80-90%) benign. But it depends on their size and rate of change (growth in their size). A repeat Ultrasound study of your Thyroid should be done (I am sure your doctor must have advised you to do so)) in 6 to 12 months time to reassess for any growth in the nodules in your Thyroid. ...Read more
Thyroid nodule 33.7x24x24 isoechoic and well defined, solid with significant nodule vascularity. Affirma test says benign. Should I remove to be sure?
Removal may be best: But you should be under the care of and guided by a endocrinologist as well as an ENT surgeon. ...Read more
Male with dominate homogenous solid thyroid nodule measuring 1.1x1:3x1.7. US says somewhat hyper-vascular. Are the cancer risk high? Need a FNB?
Could be cancer: Hi. A nodule with those characteristics could be a cancer, although the odds are in your favor that it's not based on years of data on thyroid nodules. You need an FNA, and I recommend doing it with gene testing (such as the Afirma thyroid FNA system; your endocrinologist will be aware of this, and probably uses it). The gene testing reduces surgery for non-diagnostic cytology. ...Read more
I have a cold solid vascular thyroid nodule that has doubled (now 4cm) in 6 months. Had fna, was benign so they are not worried. Should it come out?
Yes: The bigger the thyroid mass, the higher the likelihood of false negative (benign result although cancer still possibly exists) because you could possibly have a fleck of cancer within this 4 cm mass that was not sampled in the biopsy. Since you are very young (32 yo), a 4 cm mass should probably be removed. Otherwise, you should follow this closely and repeat the biopsy if more changes are seen. ...Read more
I have a heterogeneous hypoechoic thyroid nodule with solid components, internal vascularity and calcifications. Is there a chance this is cancer?
Yeah some: Wife had biopsy for this this week. Chance is low but that warrants a biopsy. ...Read more
I have been diagnosed with thyroid nodules and extra blood vessels in my eye within a week apart. No vascular or diebetic problems. Are they related?
No: There is probably no connection, just coincidence. ...Read more
8yr old, lg thyroid, nodule on rt, TSH & free T4 high. US-nonspecific heterogenous echotexture of thyroid w nodular contour & inc vascular. Sig fam hx?
Unclear on question: Not clear what is being asked. Many with thyroid disease also have a family history of thyroid disease. ...Read more
Do growing thyroid nodules equal cancer? I have 2 that have increased in size. The largest measured 1.9x1.7cm in oct. Now 2.6x2.7cm. Worried...
My thyroid level increased from. 92 to 1.2 now 1.63 over 3 year period. Had 1cm thyroid nodules a year ago biopsied no result. Hot flashes related?
Are single dominant heterogenous thyroid nodule no calcifications which increased in size both lobes. 1.2x1.3x2.4cm and 2.9x2.9x3.7cm. Usually benign?
Very Likely Benign: Of course nothing can be said for sure, but heterogenous nodules with no calcifications & not commented on here, but only peripheral or no blood flow are usually benign. You commented that they increased in size, how much-less than 10% is hard to tell from US to US. Was this done by the same doctor or radiologist? How is thyroid function? If real increase or not done an FNA may be indicated. ...Read more
Homogeneous solid thyroid nodule measuring 1.6x1.9x2.8cm increased peripheral and intranodular blood flow. Had biopsy. How suspicious and concerning?
Worth a Biopsy: It was suspicious enough to warrant a biopsy. You had one. The results will be back soon and you will know one way or another. Most turn out to be benign. ...Read more
I have a thyroid nodule that has increased in size from mm's to 1.6cm and hypoechoic associated with calcification. Increased blood flow also?
Needle Biopsy: It is likely that there will be a recommendation for a needle biopsy of the nodule. This is done usually under ultrasound guidance and local anesthesia as an out-patient procedure. If there is evidence of a cancer then further treatment such as surgery will be required. Good luck. ...Read more
Is peripheral vascularity more associated with benign thyroid nodule or malignant? As opposed to intranodular vasc. I have 1.5 cm complex peripheral
There are a number: Of ultrasound features that help determine the probability of malignancy. In general intranodule vascularity is a more suspicious feature, and peripheral vascularity is not, but in and of itself, this feature does not reliably exclude malignancy. ...Read more
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