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Doctor insights on: Isoechoic Thyroid Nodule

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Dr. Tracy Berg
Board Certified, General Surgery
26 years in practice
9M people helped
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Can isoechoic thyroid nodule of 7mm be diagnosed by FNAC test?

Can isoechoic thyroid nodule of 7mm  be diagnosed by FNAC test?

Difficult: Thyroid nodules are very common. Under 1 cm, they are usually observed, meaning a repeat Ultrasound in one year. A FNA is difficult to actually target and sample such a small lesion. Okay to ask about medication and observation. Take a friend with you to appointment. If FNA is done, ask for confirmation at the test, that the lesion was sampled. Be well. ...Read more

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Dr. Buck Parker
Board Certified
11 years in practice
414K people helped
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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


Dr. David Sneid
Board Certified, Endocrinology
35 years in practice
38M people helped
2

2
What is a innocuous and isoechoic thyroid nodule. Also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?

Probably benign: Depends on the appearance on ultrasound and also on lab and clinical parameters. Usually don't biopsy this size lesion without some other indication that there's a problem, but it should definitely be followed-up over time with repeat exams. ...Read more

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Dr. Buck Parker
Board Certified
11 years in practice
414K people helped
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Dr. Sewa Legha
Board Certified, Medical Oncology
44 years in practice
9M people helped
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Thoughts on 1.4 cm isoechoic thyroid nodule with peripheral calcification and moderate blood flow. Also round lymph node on other side of neck?

Thoughts on 1.4 cm isoechoic thyroid nodule with peripheral calcification and moderate blood flow. Also round lymph node on other side of neck?

Consult Endocrinedoc: An Endocrinologist is the best doctor to guide you in this matter. This thyroid nodule needs close follow up and will likely require a FNAC(needle biopsy) to confirm the diagnosis. But you have sometime to find the right doctor. Such nodules are slow to change, so a follow up evaluation in 6 mo may be another alternative which I am sure your present doctor would have offered as one of your choices ...Read more

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Dr. Nagesh Ragavendra
Board Certified, Interventional Radiology
45 years in practice
38K people helped
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4
1.7 CM thyroid "isoechoic solid nodule" mid-lobe. 2 fnas both came back non-diagnostic. Told next step is my choice. Should I have the lobe removed?

Probably not...: The fact that 2 FNA's came back as non-diagnostic, and that it is isoechoic suggest that the nodule is most likely benign. I would suggest going to a different facility (with good reputation) and repeating the FNA. Alternatively, you can wait another 6 months or so and repeat the US. ...Read more

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Dr. Buck Parker
Board Certified
11 years in practice
414K people helped
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Dr. Sewa Legha
Board Certified, Medical Oncology
44 years in practice
9M people helped
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Dr. Alen Cohen
Board Certified, ENT and Head and Neck Surgery
8 years in practice
269K people helped
6

6
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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Dr. Alan Feldman
Board Certified, Endocrinology
35 years in practice
2M people helped
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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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Dr. Robert Lang
Board Certified, Endocrinology
46 years in practice
1M people helped
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Are thyroid nodules common?

Are thyroid nodules common?

Yes: Thyroid nodules occur in up to 50% of the worlds population. Modern ultrasound equipment can detect very small nodules that were not detectable with older machines. Only about 5% of nodules are cancerous. Nodules tend to increase in frequency as one matures. ...Read more

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Dr. Farhad Sigari
Board Certified, ENT and Head and Neck Surgery
14 years in practice
1M people helped
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Fast growing thyroid nodules - what do they mean?

Fast growing thyroid nodules - what do they mean?

Be evaluated: Most thyroid modules dont grow fast even those involving most thyroid cancers. Those that do should be evaluated as they can be concerning for aggressive thyroid cancer. ...Read more

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Dr. Richard Orr
Board Certified, Surgical Oncology
38 years in practice
1M people helped
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What should I anticipate as standard approach in treating thyroid nodules?

Several steps: 1) history and physical exam by doctor, 2) blood test to assess thyroid function. If hyperthyroid: needs treatment and usually a nuclear scan. 3) if thyroid function is normal or depressed usually a thyroid ultrasound is done 4) if nodule is solid or suspicious then fine needle aspiration. 5) if benign: follow-up - if malignant (or suggestive) refer to qualified surgeon. ...Read more

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Dr. Lydia Collins
12 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
292 doctors shared insights

Thyroid Nodules (Definition)

Thyroid nodules are masses in the thyroid that vary in size and should be ...Read more


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Dr. Buck Parker
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