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Doctor insights on: Nodule In Complex Cystic

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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


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What to do if I have 5 cystic nodules on my breast, is this normal?

Not usual: But it is not necessarily an indication of an underlying disease. I would discuss with your primary care physician or consider dermatological evaluation. A biopsy may be performed for a definitive diagnosis. ...Read more

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What's an adenomatoid nodule with cystic degeneration?

Cyst formation: Adenomatoid nodule — fibrotic stroma and glands (adenoma). When adenomatoid nodule exists for a while and compresses blood vessels and surrounding tissue, hemorrhages and necrosis possible, and finally, in this place tissue degeneration with cyst formation. Example, leiomyomas of uterus sometimes reveal cystic degeration. ...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 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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Could the intake of karvezide 300/12.5 cause complex cystic nodule as a side effect?

Could the intake of karvezide 300/12.5 cause complex cystic nodule as a side effect?

No: This is not a side effect of angiotensin receptor blocker or hydrochlorthiazide. Karvezide is a combination of the above mentioned medications. ...Read more

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What does 2 centimeter hypoechoic/cystic nodules with internal echogenicity in the midpole of the left lobe. Larger module meaures 7mm?

What does 2 centimeter hypoechoic/cystic nodules with internal echogenicity in the midpole of the left lobe. Larger module meaures 7mm?

It would be better: If you said where these findings were. It almost sounds like the thyroid. If so cysts in the thyroid may be colloid cysts and they look like cysts with internal echoes or old blood etc. therefore please specify where you have these findings ...Read more

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I have had an intrathyroid parathyroidectomy. I now have three nodules one of which is small, cystic and with calcifacation. Do I need a biopsy?

Depends: If you have a thyroid nodule with calcifications and it is large enough to needle biopsy it may be required. As long as PTH and calcium are normal it isn't likely to be more parathyroid. ...Read more

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Hi. Should I consider surgery for a Large ill-defined heterogeneous predominately solid nodule with several cystic areas? 4.30cm x 6.06cm × 5.75cm

Hi. Should I consider surgery for a Large ill-defined heterogeneous predominately solid nodule with several cystic areas? 4.30cm x 6.06cm × 5.75cm

Location?: We do not have enough information about your nodule. Is it a thyroid nodule, or a nodule in the lung or in ovary or another part of body. You can resubmit your question. What did your doctors advice. Follow their advice ...Read more

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Can you tell me what a 2.4 CM left ovarian cystic lesion with 8mm enhancing mural nodule suspicious of neoplasm.

It is suspicious: You should ask your doctor what it means in terms of future follow up. Since it is suspicious, a repeat imaging study needs to be done in 2 months. I would also advise you to find out if a ca125 test has been done or not? This might provide further guidance as to the possibility of ovarian cancer(if the ca125 is high now, removal of this lesion(cyst) should be considered sooner than later). ...Read more

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Thyroid u/s reviled “solitary right of midline, 9mm complex cystic nonvascular ismuth nodule”. Should i be worried / biopsy?

Thyroid u/s reviled “solitary right of midline, 9mm complex cystic nonvascular ismuth nodule”. Should i be worried / biopsy?

Possibly : The ultrasound should be followed up with an appointment with an ear, nose and throat surgeon to discuss biopsy vs an additional nuclear medicine test that can give more information about the nodule. There should also be some lab tests done to measure thyroid hormones. All of that information will be used in making the best decision for you. ...Read more

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I would like to ask what is" Multiple tiny echogenic nodules scattered within the right liver. There is a complex cystic lesion in segment V?

I would like to ask what is" Multiple tiny echogenic nodules scattered within the right liver. There is a complex cystic lesion in segment V?

Descriptive: This is from results of testing a damaged liver. It is intended for use by the doctor who ordered the test to guide treatment and advise patient regarding decisions. You need to ask that doctor for a consultation. A 2nd opinion of results may make sense too if yoou are not clear. Best wishes! ...Read more

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My ultrasound showed, Complex solid and cystic nodule within the lateral right lobe with hypervascularity measures 2.5 x 1.1 x 1.6cm. With few scatter?

What organ?: Your description's incomplete — what organ was imaged? I assume it's the thyroid, but prostate, ovary, breast, & other glands are possible. The hypervascularity & "complex" solid-liquid (colloid) nature of the nodule is worrisome. Would you know (based on iodine uptake) if the nodule's "functional" (making hormone)? Talk to an endocrinologist or use HealthTap Prime. Much too complex to answer here ...Read more

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What does it mean to have a solitary nodule with cystic degeneration in the left lobe of thyroid?

What does it mean to have a solitary nodule with cystic degeneration in the left lobe of thyroid?

Recommend biopsy: Although there are characteristic finding on us that help up get an idea of what type of nodule it is. The gold standard for diagnosis is an us guided needle biopsy. It is relatively non-invasive and has good accuracy. ...Read more

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I have a complex cystic structure on right ovary with mural nodules what does this mean it is 10.7 CM.

It is most likely: Just an ovarian cyst, but some elements of it such as complex nature and mural nodules make it worrisome for tumor or even malignancy. Consult with your gyn, but you probably need to have surgical removal for both accurate diagnosis and definitive treatment. ...Read more

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My fna on isthmus 2.7 CM nodule came bk atypical. The folliculior cells are benign looking like a cystic process... Big goiter can I have it out...

My fna on isthmus 2.7 CM nodule came bk atypical. The folliculior cells are benign looking like a cystic process... Big goiter can I have it out...

Get it removed: Any atypical cells in the fna biopsy raises the possibility of cancer in the thyroid gland. That means the need for surgical excision of the tumor/thyroid gland. You should seek an opinion from an endocrinologist asap. ...Read more

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Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

FNA not essential : As the nodule is less than 1 cm. FNA biopsy is not essential in most cases. But if any risk factors like history of radiation to head or neck or family history of thyroid cancer then need to follow up more closely by ultrasound and may also consider FNA biopsy ...Read more

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2 thyroid cystic nodules 1.6 cm and 1 cm in size on one side causing problems while eating. Recommend hemithyroidectomy? What are the risks?

2 thyroid cystic nodules 1.6 cm and 1 cm in size on one side causing problems while eating. Recommend hemithyroidectomy? What are the risks?

Very few: And they will be explained in detail by your thyroid surgeon. You can easily live on thyroid replacement (which may be the choice of your physician (to "avoid" development of further nodules in the other half of the gland)
Hope this helps!
Dr Z ...Read more

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Thyroid u/s: 3x2x3mm cystic nodule, ill-defined 1.6x0.8x1.0cm hypoechoic nodule r lobe; 6x3x6mm solid, slightly hypoechoic nodule l lobe- next step?

Thyroid u/s: 3x2x3mm cystic nodule, ill-defined 1.6x0.8x1.0cm hypoechoic nodule r lobe; 6x3x6mm solid, slightly hypoechoic nodule l lobe- next step?

Followup exam: By age 60, about one-half of all people have a thyroid nodule, found either through examination or with imaging. Over 90% of such nodules are benign. Hypoechoic noodules are usually cysts. A complex nodule over one cm. With blood flow should be biopsied. This can be performed by neeedle or core bx. Most nodules are asymptomatic. Follow up us examination in six months suggested. ...Read more

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8 yrs post subtotal thyroidectomy remain thyroid has cystic, complex & solid nodules. The Largest solid isoechoic w/o calci is 1.2cmx.8cmx.5 what to do?

8 yrs post subtotal thyroidectomy remain thyroid has cystic, complex & solid nodules.  The Largest solid isoechoic w/o calci is 1.2cmx.8cmx.5 what to do?

Biopsy: Your option is to do an ultrasound guided biopsy on the 1.2 cm nodule or follow it closely with ultrasound and biopsy it if it's growing. The risk of cancer still remain low. ...Read more

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What does a hyperplastic with mild atypia nodule and cystic hyperplastic nodule associated with oncocytic metaplasia mean, both are in thyroid.

Not cancer: These are non-diagnostic findings. It is not cancer. However, you should follow your doctor's advice for follow-up tests and treatments. ...Read more

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I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?

I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?

Variable meaning: Follicular?patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Repeat biopsy with a sample sent for a genetic afirma assay may give additional useful information. In addition, discuss with your endocrinologist. ...Read more

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Thyroid US 0.6cm hypoechoic nodule & 1.2cm partially cystic nodule.going to endocrinologist but can't get me in for a few weeks. Reason for concern?

Safe than Sorry: Since the lesions are at least partially solid, the endocrinologist will probably want to be more safe than sorry. You will probably require a radioactive iodine scan of the thyroid to evaluate the nodules more closely to see if the nodules are truely only cystic, or he/she may elect to perform a fine needle aspiration of the lesions to collect samples to be tested under the microscope. ...Read more

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I was incidentally diagnosed with 4mm thyroid hypoecoic cystic nodule with couple central punctuate calcification. How often those turn out cancerous?

I was incidentally diagnosed with 4mm thyroid hypoecoic cystic nodule with couple central punctuate calcification. How often those turn out cancerous?

These: nodules are usually benign HOWEVER further evaluation may be indicated. You should be evaluated by a specialist in thyroid problems! An Endocrinologist or Head and Neck surgeon should be the next step!

Hope this is helpfu
Dr Z ...Read more

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Scan says enlarged thyroid more to right with multipal isoechoic/spongy nodules largest 1.8x1.4cm with central cystic area a peripheral vascularity??

Thyroid: Thyroid are very common and can be found on exam of the neck, US or CT scan. Depending on the number of nodules, size of the nodules and any underlying thyroid disease would dictate what further work-up is needed. For larger nodules a needle biopsy with the possibility of surgical removal may be recommended. ...Read more

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If I am having skin nodules can this be caused by cystic acne?

If I am having skin nodules can this be caused by cystic acne?

Cysts : Cystic acne appears as red, tender under the skin bumps. See a dermatologist for proper diagnosis and treatment. ...Read more

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What is an innocuous and isoechoic thyroid nodule. Also, what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?

Hard to say: It's hard to say without seeing the actual images. An isoechoic nodule is typically nonspecific and potentially falls in the indeterminate range (ie need follow up or biopsy). Same thing for a heterogenous "nodule" with tiny cystic spaces. A "complex cyst" with tiny cystic spaces can be a sponge like cyst that is typically benign. ...Read more

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I have 3.2cm Heterogeneous hypoechoic predominantly solid nodule-cystic, calcification- midpole right lobe increase vascularity what does this mean?

Specify: You have to specify what organ. Is it thyroid, liver etc. Radiology reports tend to have interesting and unique adjectives? If it is a thyroid nodule it ought to be vigorously pursued with your doctors because thyroid nodules are in general not good things to have. ...Read more