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Doctor insights on: Is A Hypervascular Thyroid Usually Cancer

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Scan shows 2.1 CM nodule on thyroid Hypervascular on color Doppler slight heterogenous echotexture / incomplete pseudocapsule RLLProb cancer or no?

Scan shows 2.1 CM nodule on thyroid Hypervascular on color Doppler slight heterogenous echotexture / incomplete pseudocapsule RLLProb cancer or no?

Need cells: Hi. You need an FNA. There are some ultrasound (U/S) characteristics that can suggest cancer (irregular borders, micro-calcifications, hypo-echoic, vascularity), but all you need at this point is an FNA for cells (and hopefully gene testing). Good luck! ...Read more

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

Needs Biopsy: 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

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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?

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

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What does a small heterogeneous hypervascular thyroid mean with 12mm nodule on right?

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

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Hi, I have elevated PHT and calcium levels. And scans show uptake at 15 min and 3 hours. Also the thyroid is inhomogeneous and hypervascular. The righ?

Hi, I have elevated PHT and calcium levels. And scans show uptake at 15 min and 3 hours. Also the thyroid is inhomogeneous and hypervascular. The righ?

Hyperparathyroidism: Sounds as if you have hyperparathyroidism. You didn't mention your renal function, though, as chronic kidney disease (CKD) is a very common cause of hyperparathyroidism. You should have your renal function and serum phosphorus levels checked...then get back to us! This condition, hyperparathyroidism, depending on the cause, is very treatable but can cause some serious problems if not. Good luck! ...Read more

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What is a 2 CM hypervascular mass on thyroid mean?

What is a 2 CM hypervascular mass on thyroid mean?

It means: 2cm is the size of the mass. Hypervascular means that the mass has a large number of blood vessels. This mass is on the thyroid. ...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 single ovoid hypervascular, hypoechoic nodules noted in the right mid gland measuring 0.4x0.3x0.2cm, thyroid. Also a 4mm ovoid nodule found?

Too small: To biopsy so, for now, you'll have to sit tight. Also, you need to speak with your doctor about what you other lab values are. ...Read more

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Follow-up thyroid us shows new "ill defined hypoechoic hypervascular nodule" that is 6x5x5 mm. Is this significant? I see my doc next week but curious

Not necessarily: The nodule is very small. Ill defined means they couldn't be sure if it was there. In something this small and ill-defined, I often don't worry too much about it. I would re-ultrasound again in 1 year to see if it changes. ...Read more

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Thyroid gland slightly enlarged but has homogeneous texture. Right nodule noted 0.5 × 0.3 × 0.3. No hypervascular on doppler in both gland what isit?

Follow up nodule: thyroid nodules are very common especially in older patients. The vast majority are not cancer and just hyper plastic nodules (overgrowth of normal tissue). In young patients like yourself thyroid nodules should be watched more closely. A nodule less than 1 cm in size does not require biopsy unless there are suspicious features such as calcification or increased blood flow. Talk to your doctor. ...Read more

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Thyroid ultrasound showed heterogenous echogenicity hypervascular thyroid. Thyroid labs normal. Any thoughts on what this is?

Thyroid ultrasound showed heterogenous echogenicity hypervascular thyroid. Thyroid labs normal. Any thoughts on what this is?

See endocrinologist: It is unclear why these studies are being done, especially if thyroid blood tests are normal. You should see an endocrinologist to have him/her interpret these tests. That ultrasound is consistent with hashimotos thyroiditis. ...Read more

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It's been over a year since my last thyroid biopsy it came back with hurthle cells calcification and hypervascular but benign. Second opinion?

It's been over a year since my last thyroid biopsy it came back with hurthle cells calcification and hypervascular but benign. Second opinion?

Follow up: You need to have a repeat ultrasound to see if the nodule has changed since the last biopsy. If it's the same or getting smaller, you don't need to have another biopsy. I recommend seeing the doctor who did the original biopsy. That person knows your history and will be able to follow this nodule for you. The choice to seek a second opinion is always yours but I'm not sure it's needed at this time. ...Read more

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I recently had a sonogram done for my thyroid and the results were as follows: Impression: Largest nodule is solid and hypervascular. 7×10×6mm?

I recently had a sonogram done for my thyroid and the results were as follows: Impression: Largest nodule is solid and hypervascular. 7×10×6mm?

Thyroid: I think the best thing for you to do is to ask the physician who orders the sonogram to give you a definitive diagnosis and the best thing for you to do regarding this ...Read more

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Can huge hypervascular thyroid nodule be goiter?

Can huge hypervascular thyroid nodule be goiter?

Yes: By definition, any enlargement of the thyroid gland is a goiter. So if the nodule is causing the thyroid to be enlarged, there is a goiter. The question is, what is the cause of the nodule? Sounds like a biopsy is in your future. ...Read more

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Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?

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

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Is a hypervascular thyroid nodule symptom for thyroid infection?

Typically, no: Usually, if there is an infection in the thyroid, like an abscess, it will be centrally avascular. ...Read more

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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

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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?

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

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My wife had a thyroid ultrasound and showed heterogenous echogenicity, hypervascular thyroid gland. No masses or nodules. Any thoughts on what this is?

My wife had a thyroid ultrasound and showed heterogenous echogenicity, hypervascular thyroid gland. No masses or nodules. Any thoughts on what this is?

Could be Hashimoto's: Is the gland normal is size or enlarged? If normal-sized, could be hashimoto's. If enlarged it could be grave's disease, both of which are autoimmune diseases. She should find out if she's hypo- or hyperthyroid and have additional testing to see if she has hashimoto's. ...Read more

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TSH 4.98 with T4 level at. 93 ordered scan found a 7mm hyperechoic nodule says does contain vascular flow. Impression heterogeneous hypervascular thyroid suggestive of thyroiditis. Small low suspicion nodule on right. Should I have specialist check?

TSH 4.98 with T4 level at. 93 ordered scan found a 7mm hyperechoic nodule says does contain vascular flow. Impression heterogeneous hypervascular thyroid suggestive of thyroiditis. Small low suspicion nodule on right. Should I have specialist check?

Wouldn't hurt.: There are a lot of findings in the ultrasound. It may all come out to nothing but without knowing your full medical history & your symptoms, it wouldn't be appropriate to advise you in this forum. You could consider HealthTap Prime to engage in more live dialogue with a physician, but it would not hurt to have an Endocrinologist (specialist) go over your symptoms & ultrasound report regardless. GL ...Read more

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I have alump in myneck by my thyroid, severly vit d def. And calc. 10.4 - how likely is this to be cancer? Taking high doses ofvitd-should I stop?

I have alump in myneck by my thyroid, severly vit d def. And calc. 10.4 - how likely is this to be cancer? Taking high doses ofvitd-should I stop?

Re-check D when time: Patients being treated specifically for vitamin d deficiency require a repeat 25ohd measurement approximately three to four months after initiating therapy. The dose of vitamin d may require further adjustment and additional measurements of 25ohd. ...Read more

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Can u have reccurence thyroid cancer with no thyroglubin?

Can u have reccurence thyroid cancer with no thyroglubin?

Yes: Yes but not likely. But if the path of the cancer is something other than papillary then it is more likely. Rec i131 thyrogen scan to eval for recurrent disease. ...Read more

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Does hashimotis of the thyroid mean cancer?

Does hashimotis of the thyroid mean cancer?

No: It is an auto immune disease of the thyroid usually resulting in hypothyroidism. ...Read more

Dr. Adam Lewis
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