Doctor insights on:
Is A Thyroid Nodule And A Goiter The Same Thing
What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?
Does a single solid thyroid nodule grow rapidly if it is benign? The nodule is not a goiter. Tsh levels are normal.
Can having a goiter and thyroid nodules make you feel unwell.. im so exhausted, my blood tests are not showing I have an under or over active thyroid?
Unlikely: Nodules of the thyroid usually produce no symptoms unless they are very large and pushing on your breathing or swallowing tube. If thyroid blood tests are normal, it means that your tiredness is related to something else. Other common causes are anemia, depression, diabetes, lack of exercise. You should see your doctor for evaluation. ...Read more
Hashimito's plus thyroid nodule. FNA benign 1 year ago. Repeat ultrasound shows thickened isthmus from what was 4 MM to 6MM. Is this same as goiter?
Hashimoto's thyroiditis is chronic lymphocytic thyroiditis based on autoimmunity. On gross examination, there is often a hard goitre, not painful.
Goiter is an abnormal swelling of thyroid resulting in a lump in the neck. It arises from many causes, including under- or overactive thyroid, iodine deficiency and, rarely, thyroid cancer If nodule enlarges and is cold may need bx again ...Read more
Thyroid nodules on CT. US found 10+ nodules, 2 largest about 2.5 cm and are "mixed cystic and solid". Dx benign multinodular goiter. Followup needed?
Watch it yourself: Get acquainted with how your gland feels. If one of the nodules starts getting appreciably bigger while the rest stay the same, get seen. This may happen but isn't likely. Best wishes. ...Read more
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?
MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. That's high. I would see a surgeon to discuss if this warrants thyroidectomy. Thanks ...Read more
I have a multi nodular goiter with 3 benign nodules. 2 4cm nodules on left & 1 2.5cm on right. Goiter pushed trachea to the right. Md rec thyroidectomy. Goiter isn't bothering me. What happens if I don't remove it?
Risks vs benefits: Masses this big will not shrink in time. You hope they will stay the same but they could also grow in the future. They are already causing trachea deviation. In cases like this I usually recommend surgery but you need to be comfortable with your decision. At the very least, follow these masses closely. Good luck. ...Read more
Thyroid with masses: Goiter usually means an enlarged thyroid gland, but can also refer a normal-sized gland with nodules or masses within it. Thyroid nodules are areas within the gland that stick out from the gland and can be felt when pressing on the neck, or may be areas that appear different from the normal gland on imaging tests like ultrasound or cat scans. ...Read more
I have 25*14 mm sized cold multi nodular goiter which is benign as per investigation reports. Should I go for surgical treatment?
I would not worry about a nodular goiter if the thyroid blood levels are OK and you are not really troubled by slightly enlarged thyroid nodules.
That said, if your doctor recommends thyroid surgery you will be referred to a thyroid surgeon who will tell you what needs to be done or what is not necessary to be done, at least for now. ...Read more
Could there be a direct relationship between a growing multi-nodular goiter and increase of severe cramping that may be "return" of endometriosis.
Multi-nodular goiter, partially solid partially cystic, 3 at the left lobe 1.9x1.1, 0.6x0.4, 2.4x1.5 cm 1 at the isthmus 1.8x1.1cm TSH 0.26. Surgery?
Surgery: Probably the best approach. Wish you well. ...Read more
I have multi nodular goiter, over the past 2 days I've had a stabbing pain in left ear along with pain in the left side of my throat. Is it related?
Not likely: You probably have a throat irritation (like reflux) or infection (pharyngitis). There is a nerve in your throat which has branches in the ear. When that nerve in your throat is inflamed you can get ear pain. Multi modular goitered are rarely the cause of such complaints and one should look elsewhere for the cause of these symptoms. ...Read more
I saw 25 doctors for a 3mm thyroid nodule-- every dr said the same thing - benign. But I couldn't stop going to appts. What's wrong with me?
Somatoform illness: You may be suffering from a type of somatoform disorder known as hypochondriasis, which involves excessive worry about having a serious illness. It might help to discuss your worries and anxiety with a therapist to help you understand the reasons for your concerns and help you to cope better with your persistent fears if medical workups have all been negative. ...Read more
Worth checking: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. The complex cyst should be biopsied if there is any solid component. It may also be drained under ultrasound (us). Otherwise, just observe with yearly us. ...Read more
Is there any cure if your thyroid levels are normal but u have extremely high thyroid peroxidase and a goiter with nodules?
No cure: However, you have hashimoto's and may become hypothyroid in the future. Have yearly check of the TSH or more frequently if you plan to get pregnant! TSH levels should be under 2.5 - 3.5 non pregnant. "normal" tshs of 4 or 5 are not normal. ...Read more
I had only 1 small nodule on thyroid and within a year now have multiple complex cysts and goiter? Is it safe two wait 2 months to see Endo? Concern?
Almost certainly: Hi. You are almost certainly safe waiting 2 months to see the endo. Glands like yours are very unlikely to be cancer. I would assume your primary care doc has checked your thyroid function before referring you, and you've obviously had a thyroid ultrasound. Please bring any data (labs, ultrasound, etc) with you to the endo appointment. Statistically, that thyroid isn't likely to cause trouble. ...Read more
I woke up with a large lump on thyroid. US showed goiter, multiple nodules with 2 of them > 3 cm. Labs = normal. Can that happen that quick? I'm 35.
Thyroid cysts: A thyroid cyst/s can expand and enlarge quickly. Most likely, these are not new but just expanding. The ultrasound can tell you about the characteristics of the nodules and whether or not they have fluid components. If there is something solid in them, they need to be biopsied. If there are many and they are causing swallowing issues already, surgery might be an option. ...Read more
I recently had an ultrasound done on my thyroid as I have a goiter. The ultrasound shows that there is a 3 mm nodule in the midpole right thyroid. There is a nodule in the midpole of the left thyroid measuring 12 x 10 x 11 mm. It contains a few punctate c
Need a biopsy: I would not be concerned about the 3 mm nodule but you should have the doctor who ordered the ultrasound refer you to someone who could do a fine needle biopsy on the larger one. If there are calcifications the risk of malignancy goes up but nodules of 12 mm are often benign and the biopsy could then reassure you ...Read more
Goiter: Thyroid nodules and goiters are slow growing and take years to grow. However, there could be a more rapid increase in size due to tumors, inflammation, pregnancy, bleeding within the nodules, or thyrotoxicosis (hyper functioning gland). For this reason, once diagnosed, most physicians recommend thyroid nodules/goiters be monitored with annual examination and thyroid ultrasound. ...Read more
Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound. ...Read more
I have hypothyroidism, goitered thyroid, and a nodule on my thyroid. Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?
These nodules can: Sometimes be reduced in size by taking a small amount of Thyroid medicine. This requires some expertise. See an Endocrinologist for the best care. ...Read more
Thyroid function?: You need to know your thyroid function level (free t4, tsh). If these are normal, the nodules are small (<1 cm), and you have no neck compressive symptoms from the goiter, usually observation is recommended. If a nodule is > 1cm and/or has suspicious characteristics on ultrasound, a fine needle biopsy may be needed. ...Read more
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