Doctor insights on:
Multi Goiter Nodule Thyroid
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?
MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. That's high. I would see a surgeon to discuss if this warrants thyroidectomy. Thanks ...Read more
What is d cause of increase in size of colloidal goiter nodule from 29 * 20 to 35 * 22 and isthmus frm 15 to 42 mm in 1month with normal tsh? Treatmen
No treatment: You seem to have nodular goitre. No treatment if TSH normal. Check TSH back every 6 months again. If abnormal then will need treatment. ...Read more
I have a multi nodular goiter with 3 benign nodules. 2 4cm nodules on left & 1 2.5cm on right. Goiter pushed trachea to the right. Md rec thyroidectomy. Goiter isn't bothering me. What happens if I don't remove it?
Risks vs benefits: Masses this big will not shrink in time. You hope they will stay the same but they could also grow in the future. They are already causing trachea deviation. In cases like this I usually recommend surgery but you need to be comfortable with your decision. At the very least, follow these masses closely. Good luck. ...Read more
I had a partial thyroidectomy and the radioactive iodine treatment for the other side due to goiter-nodule with small cancer. Synthroid (thyroxine) reduced-why?
For RAI to Work: The overall treatment is a little confusing as cancer is usually surgically removed, but there are a few reasons to lower your Synthroid (thyroxine). It may be held for a while so your left over thyroid tries to work and will suck up the RAI. The other reason is when the thyroid cells die they will release thyroid hormone. This could temp make you hyperthyroid. Eventually your dose will be adjusted again. ...Read more
Thyroid with masses: Goiter usually means an enlarged thyroid gland, but can also refer a normal-sized gland with nodules or masses within it. Thyroid nodules are areas within the gland that stick out from the gland and can be felt when pressing on the neck, or may be areas that appear different from the normal gland on imaging tests like ultrasound or cat scans. ...Read more
I have 25*14 mm sized cold multi nodular goiter which is benign as per investigation reports. Should I go for surgical treatment?
I would not worry about a nodular goiter if the thyroid blood levels are OK and you are not really troubled by slightly enlarged thyroid nodules.
That said, if your doctor recommends thyroid surgery you will be referred to a thyroid surgeon who will tell you what needs to be done or what is not necessary to be done, at least for now. ...Read more
Could there be a direct relationship between a growing multi-nodular goiter and increase of severe cramping that may be "return" of endometriosis.
Multi-nodular goiter, partially solid partially cystic, 3 at the left lobe 1.9x1.1, 0.6x0.4, 2.4x1.5 cm 1 at the isthmus 1.8x1.1cm TSH 0.26. Surgery?
Surgery: Probably the best approach. Wish you well. ...Read more
I have multi nodular goiter, over the past 2 days I've had a stabbing pain in left ear along with pain in the left side of my throat. Is it related?
Not likely: You probably have a throat irritation (like reflux) or infection (pharyngitis). There is a nerve in your throat which has branches in the ear. When that nerve in your throat is inflamed you can get ear pain. Multi modular goitered are rarely the cause of such complaints and one should look elsewhere for the cause of these symptoms. ...Read more
I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I
Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read more
I have multiple nodules like around 20 and a large goiter in my thyroid. Last biopsy was three years ago. Unable to get follow up due to no insurace?
Follow up when u can: I assume the biopsy 3 years ago was benign (negative)? The risk of thyroid cancer is low, with each nodule having an apprx. 5% chance of cancer. Odds are good that u are dealing with a benign process but u should followup as soon as you can get insurance to have this re-evaluated. Look around to see what's available to u. There are clinics that give deep discount for self-pay or free at med school. ...Read more
Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound. ...Read more
What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?
I have hypothyroidism, goitered thyroid, and a nodule on my thyroid. Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?
Goiter: Thyroid nodules and goiters are slow growing and take years to grow. However, there could be a more rapid increase in size due to tumors, inflammation, pregnancy, bleeding within the nodules, or thyrotoxicosis (hyper functioning gland). For this reason, once diagnosed, most physicians recommend thyroid nodules/goiters be monitored with annual examination and thyroid ultrasound. ...Read more
Worth checking: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then I would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. The complex cyst should be biopsied if there is any solid component. It may also be drained under ultrasound (us). Otherwise, just observe with yearly us. ...Read more
What should I do if I hv both a cmplx cyst and a mild nodule in thyroid. I also hav slight goiter?
Is there any cure if your thyroid levels are normal but u have extremely high thyroid peroxidase and a goiter with nodules?
No cure: However, you have hashimoto's and may become hypothyroid in the future. Have yearly check of the TSH or more frequently if you plan to get pregnant! TSH levels should be under 2.5 - 3.5 non pregnant. "normal" tshs of 4 or 5 are not normal. ...Read more
I had only 1 small nodule on thyroid and within a year now have multiple complex cysts and goiter? Is it safe two wait 2 months to see Endo? Concern?
Almost certainly: Hi. You are almost certainly safe waiting 2 months to see the endo. Glands like yours are very unlikely to be cancer. I would assume your primary care doc has checked your thyroid function before referring you, and you've obviously had a thyroid ultrasound. Please bring any data (labs, ultrasound, etc) with you to the endo appointment. Statistically, that thyroid isn't likely to cause trouble. ...Read more
I woke up with a large lump on thyroid. US showed goiter, multiple nodules with 2 of them > 3 cm. Labs = normal. Can that happen that quick? I'm 35.
Thyroid cysts: A thyroid cyst/s can expand and enlarge quickly. Most likely, these are not new but just expanding. The ultrasound can tell you about the characteristics of the nodules and whether or not they have fluid components. If there is something solid in them, they need to be biopsied. If there are many and they are causing swallowing issues already, surgery might be an option. ...Read more
I recently had an ultrasound done on my thyroid as I have a goiter. The ultrasound shows that there is a 3 mm nodule in the midpole right thyroid. There is a nodule in the midpole of the left thyroid measuring 12 x 10 x 11 mm. It contains a few punctate c
Need a biopsy: I would not be concerned about the 3 mm nodule but you should have the doctor who ordered the ultrasound refer you to someone who could do a fine needle biopsy on the larger one. If there are calcifications the risk of malignancy goes up but nodules of 12 mm are often benign and the biopsy could then reassure you ...Read more
These nodules can: Sometimes be reduced in size by taking a small amount of Thyroid medicine. This requires some expertise. See an Endocrinologist for the best care. ...Read more
Thyroid function?: You need to know your thyroid function level (free t4, tsh). If these are normal, the nodules are small (<1 cm), and you have no neck compressive symptoms from the goiter, usually observation is recommended. If a nodule is > 1cm and/or has suspicious characteristics on ultrasound, a fine needle biopsy may be needed. ...Read more
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