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Doctor insights on: Nodules On Thyroid And High Cpk

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Creatine Kinase (Definition)

Creatine kinase is an enzyme found in muscles throughout the body. There are different subtypes of the enzyme, called isoforms, which predominate in different organs. For instance, the isoform in skeletal muscles is different from that which is most heavily found in the heart muscle. A blood tests detects levels of this in the body, for example if ...Read more


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Borderline elevated thyroid uptake 31.5 percent, mild thyromegaly, no definite dominant hot or cold nodules. Should I be concerned? See an endocrinol

Borderline elevated thyroid uptake 31.5 percent, mild thyromegaly, no definite dominant hot or cold nodules. Should I be concerned?  See an endocrinol

Thyroid: As an endocrinologist myself I strongly recommend a visit to a local endocrinologist. You will get a full exam and be told the necessary studies needed in a way you will fully understand. ...Read more

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High tsh 8.01 all other thyroid levels normal. Worried had small nodules on thyroid last year with normal thyroid levels.

High tsh 8.01 all other thyroid levels normal. Worried  had small nodules on thyroid last year with normal thyroid levels.

Subclinical hypothyroidism.: An isolated elevation of the TSH in the face of other thyroid hormone levels being normal suggests a diagnosis of subclinical hypothyroidism. The most likely underlying cause is Hashimoto's thyroiditis and your blood should be checked for the presence of anti-thyroid antibodies. At a TSH level of eight or higher I would recommend treatment with thyroid hormone therapy. ...Read more

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Is there any cure if your thyroid levels are normal but u have extremely high thyroid peroxidase and a goiter with nodules?

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

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Can my thyroid nodule be related to high blood calcium level?

Can my thyroid nodule be related to high blood calcium level?

Parathyroid likely: When high calcium levels are seen, an apparent thyroid nodule is actually an intrathyroidal parathyroid gland. ...Read more

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Thyroid us 1.2cm by 0.9 nodule hypoechoic. Had previous in June 2014 saw 3 nodules 8mm and all are stable the large one is new. Tsh high 8.1. Freaking?

Thyroid nodules: Most nodules are benign, especially if multiple. Biopsy by needle aspiration may be useful for larger nodules, though recently the threshold for biopsy was lowered to just over 1 cm. Early detection of significant lesions is useful, but most cancers at young age are highly curable even if nodes involved. ...Read more

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Male with dominant homogenous solid thyroid nodule in midpoint that measures 1.1x1.3x1.7. Does this indicate a high cancer risk? Are most benign?

Male with dominant homogenous solid thyroid nodule in midpoint that measures 1.1x1.3x1.7. Does this indicate a high cancer risk?  Are most benign?

Most are benign: Hi. Yes, most nodules with those characteristics are benign. I'll assume you're not hyperthyroid (hyper-functioning nodules are NEVER cancer). Nevertheless, the chance of cancer is high enough (about 10-15% for nodules like that) that you MUST get it biopsied (non-surgical needle biopsy with gene testing is recommended). Don't ignore it, and don't ASSUME benignity. Cheers! ...Read more

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My TSH is on the high side of normal and I take levothyroxine. Am I at lower risk for developing thyroid nodules as a result?

My TSH is on the high side of normal and I take levothyroxine. Am I at lower risk for developing thyroid nodules as a result?

No: Nodules cannot be prevented by levothyroxine, nor can that drug shrink or otherwise change nodules. Nodules occur for other reasons, outside the control of that drug. ...Read more

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Male with dominate homogenous solid thyroid nodule measuring 1.1x1:3x1.7. US says somewhat hyper-vascular. Are the cancer risk high? Need a FNB?

Male with dominate homogenous solid thyroid nodule measuring  1.1x1:3x1.7.  US says somewhat hyper-vascular.  Are the cancer risk high?  Need a FNB?

Could be cancer: Hi. A nodule with those characteristics could be a cancer, although the odds are in your favor that it's not based on years of data on thyroid nodules. You need an FNA, and I recommend doing it with gene testing (such as the Afirma thyroid FNA system; your endocrinologist will be aware of this, and probably uses it). The gene testing reduces surgery for non-diagnostic cytology. ...Read more

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TSH is constantly suppressed.FT3 borderline high. FT4 borderline low. Tested 5 times. Thyroid uptake scan = *low 5.3% wo nodules. Please help explain.

TSH is constantly suppressed.FT3 borderline high. FT4 borderline low. Tested 5 times. Thyroid uptake scan = *low 5.3% wo nodules. Please help explain.

Thyroiditis: Why are you having your thyroid tested? what are your symptoms? start from the begining. Medicine is not about scans and numbers. TSH is suppressed by the elevated T3 (liothyronine) as feedback inhibition. I would expect normal to high uptake but it can be low in some cases of Hashimoto's thyroiditis. thyroid scan in Hashimoto's thyroiditis can mimic a wide range of thyroid disorders. Thyroid may be burning out. ...Read more

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M w/ hypothyroidism (2 yrs). US identified dominant homogeneous solid thyroid nodule >1 CM . No mention of hyper or hypoechoic. Are cancer risk high?

M w/ hypothyroidism (2 yrs). US identified dominant homogeneous solid thyroid nodule >1 CM . No mention of hyper or hypoechoic. Are cancer risk high?

Not necessarily: Incidence of malignancy is 4% when a solid thyroid nodule is hyperechoic. If the lesion is hypoechoic, the incidence of malignancy rises to 26% although using this as criteria to determine likelihood of malignancy isn't very accurate. In general, thyroid cancer is an uncommon malignancy which constitutes about 0.5% of all malignancies. Follow up with your doctor is recommended for additional tests ...Read more

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I have been experiencing a fullness feeling under my chin, almost tightness that does extend down the front of my throat. I have thyroid nodules but feel this might be too high in the throat for them. Going for an u/s scan tomorrow of thyroid to be sure

Thyroid Nodules: Thyroid nodules are very common. About 1 in 3 people develop them in their lifetime. The reason why we care, is that (in general) 5% of them turn out to be malignant. We also worry if they start to grow & put pressure on other structures in the neck, or become autonomous/overactive. An u/s will be helpful to evaluate. You should also discuss with your Dr. about checking TFTs & Thyroid Abs. ...Read more

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Thyroid nodule. FNA benign. male. Last 2 tests. TSH high normal 4.0, and 4.2. FT4 Normal. TPO AB high at 39 (0-9 range) do I need medication?

Thyroid nodule. FNA benign. male. Last 2 tests. TSH high normal 4.0, and 4.2. FT4 Normal. TPO AB high at 39  (0-9 range)
do I need medication?

No: One of the questions with regard to thyroid nodules pertains to number and activity of the nodule. If on scan one sees several nodules, the dx for the most part is goiter. FNA can easily miss the nodule or can be read as an adenoma. A functional scan should be performed. If hot the nodule should be left alone. If the solitary nodule is cold there is a 30% chance the nodule is or will be Ca. ...Read more

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3.4 thyroid nodule borderline pth high ca choked on a pill now have trouble swallow sometimes. i have anxiety and treated for GERD what is going on ?

3.4 thyroid nodule borderline pth high ca choked on a pill now have trouble swallow sometimes. i  have anxiety and treated for GERD  what is going on ?

Hyperparathyroidism: Sounds like classic primary hyperparathyroidism. The symptoms are probably from high calcium. A nuclear scan can likely confirm (sestamibi). Suggest you see an endocrinologist or nephrologist. ...Read more

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Tsh 6.0, T4 normal, heterogeneous echo, no nodules, chronic high ANA (23 yrs no sle) thyroglob. 67, no thyroid antib., sister w/thyroid c. Next steps?

Tsh 6.0, T4 normal, heterogeneous echo, no nodules, chronic high ANA (23 yrs no sle) thyroglob. 67, no thyroid antib., sister w/thyroid c. Next steps?

Endocrinologis: If TSH is high and gland is enlarge, your doctor might want to give you treatment , with thyroid hoimone to normalize the TSH and reduce the size of the gland , the fact that you have a positive ANA , should not change the decision.. .There are familial thyroid cancers that are part of syndromes called familial men for multiple endocrine neoplasia. Discuss it with md. ...Read more

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Is single solid thyroid nodule more/less likely to be malignant in presence of just-id'd suppressed tsh, slightly elevated free t3/free t4, tsi of 313?

Is single solid thyroid nodule more/less likely to be malignant in presence of just-id'd suppressed tsh, slightly elevated free t3/free t4, tsi of 313?

Less likely: Suppressed TSH means hyperfunctioning thyroid gland. Most of the time that lowers the risk of cancer but does not eliminate the risk and the nodule may still need to be biopsied. ...Read more

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Blood test TSH 3.40--considered "high" per lab . Has reference range changed lately? Free T4 .9 (normal range) have thyroid nodule, prolactinoma

Blood test TSH 3.40--considered "high" per lab . Has reference range changed lately? Free T4 .9 (normal range)
have thyroid nodule, prolactinoma

That TSH: While technically normal is considered by many to be slightly high relative to your age. Discuss it with your rotor. Hypothyroidism can increase prolactin somewhat. If you're taking cabergoline, it needs to be taken twice a week to be effective. ...Read more

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. Sanjiv Kaul
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