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Doctor insights on: Isoechoic Thyroid Nodule

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Dr. Tracy Berg
Board Certified, General Surgery
27 years in practice
9M people helped
1

1
Can isoechoic thyroid nodule of 7mm be diagnosed by FNAC test?

Dr. Tracy Berg
Board Certified, General Surgery
27 years in practice
9M people helped
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. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Steven Seres
Board Certified
16 years in practice
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Dr. Eric Whitman
304 doctors shared insights

Thyroid Nodules (Definition)

Thyroid nodules are firm growths on the thyroid gland ...Read more


Dr. David Sneid
Board Certified, Endocrinology
36 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?

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

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. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Steven Seres
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Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
3

3
Thoughts on 1.4 cm isoechoic thyroid nodule with peripheral calcification and moderate blood flow. Also round lymph node on other side of neck?

Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
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
46 years in practice
38K people helped
4

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?

Dr. Nagesh Ragavendra
Board Certified, Interventional Radiology
46 years in practice
38K people helped

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. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
5

5
Thyroid nodule 33.7x24x24 isoechoic and well defined, solid with significant nodule vascularity. Affirma test says benign. Should i remove to be sure?

Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped

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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Dr. Alen Cohen
Board Certified, ENT and Head and Neck Surgery
9 years in practice
270K 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

Dr. Alen Cohen
Board Certified, ENT and Head and Neck Surgery
9 years in practice
270K people helped
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
36 years in practice
2M people helped
7

7
Presence of hypoechoic area in hyperechoic thyroid nodule.. What it indicates? Nodule has increased vascularity

Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped

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
47 years in practice
1M people helped
8

8
Are thyroid nodules common?

Dr. Robert Lang
Board Certified, Endocrinology
47 years in practice
1M people helped
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
15 years in practice
1M people helped
9

9
Fast growing thyroid nodules - what do they mean?

Dr. Farhad Sigari
Board Certified, ENT and Head and Neck Surgery
15 years in practice
1M people helped
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
39 years in practice
1M people helped
10

10
What should I anticipate as standard approach in treating thyroid nodules?

Dr. Richard Orr
Board Certified, Surgical Oncology
39 years in practice
1M people helped

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. Steven Seres
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16 years in practice
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