Doctor insights on:
Isoechoic Thyroid Nodule
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
What is a innocuous and isoechoic thyroid nodule. Also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?
Hard to say: It's hard to say without seeing the actual images. An isoechoic nodule is typically nonspecific and potentially falls in the indeterminate range (ie need follow up or biopsy). Same thing for a heterogenous "nodule" with tiny cystic spaces. A "complex cyst" with tiny cystic spaces can be a sponge like cyst that is typically benign. ...Read more
31×11×16 mm solid, isoechoic thyroid nodule with hypoechoic thin halo, fna biopsy says atypical cells of uncertain significance Surgery or wait 3 mo.?
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
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
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
Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read more
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read more
Yes if ignore it: See your doctor, after evaluation, possible FNA biopsy then you don't you don't have to be concerned. ...Read more
Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us). It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it. While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers. But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules. ...Read more
Not the best questn: Your better question is what steps to you need to take to increase you chance of survival with this process. Close and honest discussions with your treatment team can provide you the best answers. ...Read more
Not common: Teens can have all the thyroid conditions that older people have, but these conditions are much more rare among teens. Isolated benign nodules, multinodular goiters and thyroid cancer can all occur in this age group and need to be appropriately evaluated and treated...Just like an adult. ...Read more
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