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Doctor insights on: Increased Vascularity In Thyroid Nodule

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What does increased vascularity in thyroid nodule mean?

Increased blood flow: There is more blood flow to the thyroid nodule than the surrounding thyroid tissue. Could represent an adenoma or tumor. Needle biopsies are frequently done for further evaluation if a nuclear scan is not helpful. ...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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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

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What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

Inflammation: A hypoechoic nodule could compress normal tissue and vessels. Inflammation around nodule might also increase flow. ...Read more

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I have a thyroid nodule. A scan revealed that it is solid with irregular borders, and I have increased vascularity, what does this mean?

I have a thyroid nodule. A scan revealed that it is solid with irregular borders, and I have increased vascularity, what does this mean?

Needs FNA: This could mean malignancy, but not always. You should have a fine needle aspiration - a minor procedure done under local anesthesia. This will usually sort things out and determine if surgery is required. ...Read more

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FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC How accurate is this test?

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

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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?

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

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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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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

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I have thyroid nodule measuring 29×20 mm in size usg report indicate a hyperechoic structure with increased vascularity my TSH n antibody normal?

Indeterminate nodule: Hyper-echoic nodule has 5% chance of malignancy and the risk increases with large dominant nodule. 20-30% of all cancers are iso/hyper-echoic.
Since this big nodule will be easy to biopsy - tissue diagnosis may be obtained to exclude malignancy. ...Read more

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Are heterogeneous complex thyroid nodules degenerating adenomas and have to be removed if peripherally vascular?

Depends: Increased vasularuzation of thyroid nodule rises suspension fior malignanccy. In this case fine needle aspiration of thyroid nodule is needed to rule malignantncy. Otherwise nodules with this appearance on thyroid ultrasound are generally benign. ...Read more

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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

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Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

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

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What percentage of heterogeneous, complex peripherally vascular thyroid nodules are cancer?

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

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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

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I have thyroid nodule for 20 years and grown from 2.7cm to 3.2cm in 4 yrs - now has scattered echogenic foci-calcify and increase vascularity-is canc?

Thyroid nodule: I would recommend you see an endocrinologist to determine if the nodule should undergo a needle aspiration biopsy. This can help determine if the nodule is benign or cancerous after which appropriate treatment can be undertaken. ...Read more

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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?

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

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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?

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

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Stable thyroid nodule increased vascularity on right side with painfull swollen lymphs all on right side is carcinoma likely?

Incomplete info.: First need ultrasound report - solid or cystic nodule? How long was it stable? Was any nuclear medicine scan and uptake done? Need report of that too - was it cold or hot nodule? ...Read more

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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...

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...

No: If the nodule changes in size, then you should see your doctor and obtain a fine needle aspiration for a diagnosis of the nodules. The change in size, in of itself, does not mean it's malignant. ...Read more

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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?

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?

Need more data:: You might be hyperthyroid, but a low TSH would confirm this. Also, you need a free T3 & T4 done. If TSH low you need thyroid stimulating IgG. The measurements do not specify what was measured: total or free & T3 or T4. ...Read more

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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?

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

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Homogeneous solid thyroid nodule measuring 1.6x1.9x2.8cm increased peripheral and intranodular blood flow. Had biopsy. How suspicious and concerning?

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

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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

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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

Dr. Lawrence Kessler
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


Dr. Eric Whitman
342 Doctors shared insights

Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more