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Doctor insights on: Isoechoic Thyroid Nodule

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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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Thyroid Gland (Definition)

Thyroid gland is also known as Thyroid. It is an endocrine gland which produces thyroxin hormone which controls the metabolism in every cell in the body.It produces 80 to 90%t4 and 10 to 20 %t3. These control rate of metabolism and affect the growth and rate of functions of many cells in the body it is ...Read more

Dr. Paxton Daniel
Board Certified, Radiology
33 years in practice
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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?

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. Paxton Daniel
Board Certified, Radiology
33 years in practice
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Treating a Lung Nodule (Checklist)

Recognize that most nodules are benign scars, not malignant
Once
Remember to obtain any previous images possibly showing nodule
Once
Carefully research best options, follow vs. biopsy
Once
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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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Treating a Lung Nodule (Checklist)

See Doctor for Evaluation
once
Evaluate Smoking Status
daily
Ensure Proper Follow Up of Nodule
once
Board Certified, Radiology
33 years in practice
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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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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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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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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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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. Jeremiah Gelles
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Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more

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Dr. Paxton Daniel
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