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Doctor insights on: Multinodular Thyroid Hyperplasia

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Dr. Thomas Fiala
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


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Can huge hypervascular thyroid nodule be goiter?

Can huge hypervascular thyroid nodule be goiter?

Yes: By definition, any enlargement of the thyroid gland is a goiter. So if the nodule is causing the thyroid to be enlarged, there is a goiter. The question is, what is the cause of the nodule? Sounds like a biopsy is in your future. ...Read more

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Is a heterogeneous thyroid nodule cancerous?

Is a heterogeneous thyroid nodule cancerous?

Possibly: Each thyroid nodule has an approx. 5% chance of malignancy, thus a heterogenous could be cancerous. Looking at it the other way, a heterogenous nodule has a 95% chance of not being cancerous. ...Read more

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What medications treat follicular adenoma thyroid nodules?

What medications treat follicular adenoma thyroid nodules?

None: Medications are not used to treat follicular thyroid nodules. Usually they are observed only or removed surgically. ...Read more

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Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

10---15 days: You have autoimmune hypothyroidism and need to to be seen by an endocrinologist , who want to be sure cold or hot nodules and act accordingly and adjust synthroid (thyroxine). ...Read more

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Can follicular adenoma thyroid nodules be serious?

Can  follicular adenoma thyroid nodules be serious?

Yes.: A follicular adenoma may be a wolf in sheep's clothing, because cells from follicular adenomas and follicular carcinomas can look the same. Other follicular adenomas may have almost no chance of being cancers, but overproduce thyroid hormone, and need treatment to prevent harmful effects of hyperthyroidism on the bones, heart and other tissues. ...Read more

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Hypothyroid since 2005,non toxic multinodulor goiter 5mm nodule lft thyroid.Bothersome

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

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Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read more

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Can benign thyroid nodule become malignant?

Well...: A thyroid nodule is technically not "benign" unless it's surgically removed and the pathologist found no cancer in the specimen. A nodule that is still in your neck could still be cancerous despite a "benign" biopsy because not all of the nodule is cancerous. Sometime it's just a speck that is cancerous and was missed during the biopsy. That's why it's important to continue to follow the nodule. ...Read more

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Do papillary and follicular thyroid cancers secrete thyroglobulin?

Do papillary and follicular thyroid cancers secrete thyroglobulin?

Yes: All cells of thyroid origin secrete thyroglobulin. Measuring it to follow a cancer ONLY makes since if the whole thyroid has been removed. If you have anti thyroglobulin antibodies, that makes thyroglobulin measurements unreliable. However, rising or decreasing anti thyroglobulin antibodies can be a proxy for thyroglobulin measurements. ...Read more

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Can cystic thyroid nodule be cancerous?

Can cystic thyroid nodule be cancerous?

Unlikely but ask doc: Most of the the thyroid nodules are benign, cystic nodules are even more benign, but sometimes a small focus of cancer could be inside the cyst, to be sure most of the time after fine needle aspiration (fna) will be done by your doctor send for biopsy ( cytology ) to be sure it is benign.. ...Read more

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Is follicular thyroid carcinoma treatable?

Is follicular thyroid carcinoma treatable?

Very treatable: Surgical resection always needed but depending on size of lesion, proximity to isthmus and whether nodes seen on scan procedure of choice decided on. Under 30 years of age lesion very curable even in face of nodes. Over 50 I find surgery may be difficult because of invasion occasionally into larynx and carotid artery. If surgery effective may need p.o. RT. ...Read more

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Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more

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Biospy of thyroid report "Macrofollicular thyroid parenchyma, suggestive of nodular hyperplasia" What does this means?

Not cancer: It would be helpful to talk to the pathologist who rendered the diagnosis, however, from the information you provided, you do not have thyroid cancer. ...Read more

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Norm. tsh, pth 103, tpo ab 839, calcium 383, abnormal thyroid/para-heterogeneous parenchymal echotexture-thyroid,no nodule,ill defined hypoecoic lesion posterior to rt thyroid lobe,ill def para nodule?

Norm. tsh, pth 103, tpo ab 839, calcium 383, abnormal thyroid/para-heterogeneous parenchymal echotexture-thyroid,no nodule,ill defined hypoecoic lesion posterior to rt thyroid lobe,ill def para nodule?

Clarify: Hi. Your PTH is high and MEN-1 in the family. That calcium makes no sense unless it's a 24-hour urine calcium, in which case it's high. What's your serum calcium? Your thyroid autoantibodies are high, and your thyroid function is normal. MEN-1 is not assoc. with autoimmune thyroid disease, so that looks like maybe an unrelated finding. Most MEN-1 patients get primary hyperparathyroidism before 57 ...Read more

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