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Doctor insights on: Microcalcification Thyroid

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Dr. Barbara Hummel Dr. Hummel
Family Medicine
29 years in practice
Medical College of Wisconsin
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What should you eat when you have hyper thyroidism?

What should you eat when you have hyper thyroidism?

Hyperthyroidism: There are no food that reverse hyperthyroidism or make it worse.

Microcalcifications (Definition)

Are tiny calcium deposits that can occur in various parts of the body, such as the breast and thyroid gland. There are a variety of causes, most benign, but certain cancers can also produce them. Generally, the shape and distribution determine the level of suspicion. Typically benign looking microcalcs can usually be ignored, and more suspicious microcalcs likely ...Read more


Dr. Paxton Daniel Dr. Daniel
Radiology
35 years in practice
University of Texas Medical School at Houston
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Dr. Joshua Rosenthal Dr. Rosenthal
ENT - Head & Neck Surgery
14 years in practice
New York Medical College
3

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What causes microcalcification in thyroid nodule?

What causes microcalcification in thyroid nodule?

Hmm: Microcalcifications in a thyroid nodule are from small calcium deposits in the cells. Thyroid cancer can be associated with this finding, however, benign nodules can also have them. A nodule with microcalcifications should have a fine needle aspiration to help diagnose which it is.

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Dr. Paxton Daniel Dr. Daniel
Radiology
35 years in practice
University of Texas Medical School at Houston
4

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What does microcalcification in thyroid nodule mean?

Usually biopsy: Fine microcalfications in a solid nodule can be seen in certain thyroid cancers (papillary most commonly). Ultrasound guided fine needle biopsy is often performed in this setting.

Dr. Paxton Daniel Dr. Daniel
Radiology
35 years in practice
University of Texas Medical School at Houston
5

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Do thyroid microcalcifications mean cancer?

Do thyroid microcalcifications mean cancer?

No: However, certain patterns of calcification raise the risk that a nodule could be malignant. When in doubt, needle biopsy is advised.

Dr. Richard Orr Dr. Orr
Surgery - Oncology
40 years in practice
University of South Florida College of Medicine
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How often are thyroid nodule microcalcifications cancerous? Can capsule be ruptured during biopsy?

How often are thyroid nodule microcalcifications cancerous? Can capsule be ruptured during biopsy?

Common. No: Depending on the exact type of microcalcification, there is a significant rate of cancer. So nodules with microcalcs should be biopsied. There is minimal risk to doing thyroid fine needle aspiration/biopsy. No issues with rupture of the capsule, spread of cancer, etc.

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Dr. Lawrence Hochman Dr. Hochman
Radiation Oncology
27 years in practice
Philadelphia College of Osteopathic Medicine
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Are thyroid nodules with microcalcifications always cancerous?

Are thyroid nodules with microcalcifications always cancerous?

No: Thyroid nodules with calcifications need to be fully evaluated, but just because they have calcifications, doesn't mean that they are cancerous. Don't delay, get evaluated.

Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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I have stable, dominant 10 mm left thyroid nodule with possible internal microcalcifications. What does it mean? Do I need thyroid scan?

Thyroidologist: Usually, in women especially multiple thyroid nodules are all benign. However, that being said, if there's any doubt a needle biopsy is the diagnostic procedure of choice. I feel that an endocrinologist or preferably a thyroidologist is best qualified to evaluate, treat and follow you. Thyroid scans or ultrasounds alone don't usually settle the problem in my experience.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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Thyroid biopsy 2yrs ago had hurthle and follic. Cells. Now 3 nodules w/microcalcifications, 1hypo/1 isoechoic. Lobes larger too. Biopsy again?

Thyroid biopsy 2yrs ago had hurthle and follic. Cells. Now 3 nodules w/microcalcifications, 1hypo/1 isoechoic. Lobes larger too. Biopsy again?

Yes: Once again, your best friend is your local pathologist. I wouldn't hesitate to needle them once again.

Dr. Bassam Amawi Dr. Amawi
Psychiatry
45 years in practice
University of South Florida College of Medicine
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What are the chances a 4mm thyroid nodule with microcalcifications present is malignant? What are the cure and survival rates for a 29 y. O. Male?

As above: Obviously u r concerned, to reduce u anxiety ask u treating physician, that way in the future u can get used to ask any question u may have.

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Dr. David Dang Dr. Dang
Radiology
10 years in practice
UC San Diego School of Medicine
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Percentage of thyroid nodules with microcalcification who had radiation as child that is malignant?

Percentage of thyroid nodules with microcalcification who had radiation as child that is malignant?

Biopsy: Thyroid nodules with microcalcifications are considered suspicious and therefore fine needle aspirations should be considered for definitive diagnosis. If fna fails to make the diagnosis, surgical excision may be considered.

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Dr. Michael Kleerekoper Dr. Kleerekoper
Internal Medicine - Endocrinology
47 years in practice
University of Sydney Faculty of Medicine
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Dr. Melissa Young Dr. Young
Internal Medicine - Endocrinology
5 years in practice
14
Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

Needs Biopsy: Thyroid nodule with microcalcification&hypervascularity have a likelihood of being Cancerous in about approx 5.3 % of cases according to literature. Ask your endocrinologist for Biopsy We really need other teatures like irregular or regular border, Pattern of calcifications like few few or snowstorm parttern, minimal or high internal flow These are other features taken into account to prediction

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Dr. Joseph Maklansky Dr. Maklansky
Radiology
20 years in practice
Mount Sinai School of Medicine
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Thyroid nodules -should patient know? Us features microcalcifications, shape, hypoechogenicity, type III color power doppler do doctors look carefully?

Thyroid nodules -should patient know? Us features microcalcifications, shape, hypoechogenicity, type III color power doppler do doctors look carefully?

Thyroid nodules: Many people have thyroid nodules. Most are benign. There are many features that a radiologist will look for in thyroid nodules to help determine if further evaluation is needed. The most important features are calcification, taller than wide nodules and irregular microlobulations. If need be a fna or core biopsy can be preformed.

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Dr. Alan Feldman Dr. Feldman
Internal Medicine - Endocrinology
37 years in practice
Pennsylvania State University College of Medicine
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I was diagnose with 5x5 mm isoechioc solid thyroid nodule without evidence of, microcalcifications no masses, no lymphadenopathy visualized what dis?

Observation: It sounds like you were found to have a small thyroid nodule of 5 mm. These are common in the population, usually benign. Typically they are followed with repeat ultrasound in 6-12 months to see if it changes. You should have thyroid function tests done as well.

Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
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History invasive breast cancer, US of thyroid show multiple solid nodule, largest 1.5 CM w/microcalcifications & hypervascularity. Odds of malignancy?

Possible: Most likely your doctor will do aspiration biopsy (FNS) in the office wait for the results, in general prognosis is excellent in most of the thyroid cancers. 44 yr old can expect cure, speak to your doctor

Dr. Sudhir Bansal Dr. Bansal
Internal Medicine - Endocrinology
71 years in practice
University of Delhi, Maulana Azad Medical College
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Us of thyroid 3 growing nodules 1.5cm +. Microcalcification, internal vascularity, iso & hypoechoic, solid. History stg III melanoma. Fna sched. Worry?

Thyroid nodules: Though majority of thyroid nodules are benign but increased vascularity calcification and increasing size suggest a possible chance of malignancy you need a ultrasound guided biopsy to decide future management.

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Dr. Paul Slawek Dr. Slawek
Radiology
50 years in practice
Jefferson Medical College of Thomas Jefferson University
20
Dr. Creighton Wright
13 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