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Doctor insights on: Should I Have A Thryoid Nodule Removed

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Do I have to have my entire thyroid removed if I only have nodules in one side?

Do I have to have my entire thyroid removed if I only have nodules in one side?

Depends: It depends on the nature of the nodule. If it is malignant, then the whole gland needs to come out. If it is benign, then even the nodules need not be removed. ...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


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I had most of my Thyroid removed in 2012 precancerous. Now they said I have a 5mm nodule on my left side. My dr. Said to follow up in In a year?

I had most of my Thyroid removed in 2012 precancerous. Now they said I have a 5mm nodule on my left side. My dr. Said to follow up in In a year?

You're worried.: I can understand why. If your doctor did an ultrasound and saw the nodule, it's probably OK to wait. An ultrasound is pretty good at telling if a nodule is benign. You didn't have thyoid cancer when you had your thyroid removed, which is great, and the reason I'm not worried. But if you didn't have an ultrasound, it might be worth a 2nd opinion about getting one. ...Read more

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In 2008 partial right side thyroid removed due to a single nodule that turned out to be benign. Now have fast growing nodules bilaterally, concerning?

In 2008 partial right side thyroid removed due to a single nodule that turned out to be benign. Now have fast growing nodules bilaterally, concerning?

If you have: Been on an appropriate dose of brand name T4 replacement and still formed new nodules, they need evaluation and possibly surgery. If you haven't been on replacement since 2008, then somebody goofed because it would probably have prevented the new nodule formation. ...Read more

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Nodules on my daughter's thyroid. How to get it removed?

See endocrinologist: Thyroid nodules, especially in a young person, need to be evaluated carefully, with ultrasound and possible biopsy. Sometimes, autoimmune thyroid disease (eg hashimotos/graves) can give a nodular appearance, and if so you don't need surgery. Best to see your endocrinologist for evaluation. If surgery is needed, you need an experienced thyroid surgeon. ...Read more

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Do thyroid nodules need to be removed?

Do thyroid nodules need to be removed?

In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read more

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What is a colloid nodule? Does a benign c on a thyroid has to be removed?

What is a colloid nodule? Does a benign c on a thyroid has to be removed?

Benign: A colloid nodule is one of the most common benign thyroid nodules. These occur for unknown reasons, typically run in families. No treatment is needed unless they get very big and affect swallowing or breathing. They typically are not removed. ...Read more

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Should a growing calcified thyroid nodule be removed?

Evaluation: A growing nodule should undergo a fine needle aspiration under ultrasound. If positive for cancer, then proceed to surgery. If negative, it should be followed serially with ultrasound to track for changes. If no changes on subsequent ultrasounds and it's not causing breathing or swallowing problem, you might not need to do anything. ...Read more

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Can thyroid nodules be removed without having to remove the thyroids?

Can thyroid nodules be removed without having to remove the thyroids?

Not usually: We do not recommend removing just the nodule. The recurrence risk is high and the secondary operation is more dangerous due to scarring. Typically we remove one half of the thyroid (lobectomy) or the whole thing (total thyroidectomy) depending on the specific pathology. ...Read more

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Am having the front and right side of thyroid removed due to nodules, won't be on thyroxin as i'll still have left side, will I put on weight?

Am having the front and right side of thyroid removed due to nodules, won't be on thyroxin as i'll still have left side, will I put on weight?

Not likely: If your thyroid hormone level is normal, you will not put on weight. Follow your labs regularly to make sure you are still euthyroid (normal thyroid). Good luck with the surgery. ...Read more

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2005 papilary. Thyroid removed. 2006 recurr right side thyroid bed. Today new nodule r thyroid bed. Hypochoic avascular. 0.3x0.2x0.2cm. What to do?

2005 papilary. Thyroid removed. 2006 recurr right side thyroid bed. Today new nodule r thyroid bed. Hypochoic avascular. 0.3x0.2x0.2cm. What to do?

Endocrinologist: Check w/your endocrinologist for further lab, physical, interpretation of ultrasound, etc. Depends on prior pathology, lab, surgery, possible radioiodine, current therapy and many other factors that we can't evaluate on the internet. ...Read more

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I have a 3.75 cm nodule on my thyroid it has not grown since 2013 I had biopsy in 2010 and 2013 both were non cancerous dr said should have it removed?

I have a 3.75 cm nodule on my thyroid it has not grown since 2013 I had biopsy in 2010 and 2013 both were non cancerous dr said should have it removed?

Thyroid nodule: Ignore potential cancer if the nodules are not growing. That said, you should probably see a thyroid surgeon. In m opinion, if the large nodules are stable you should have the nodules removed and you can relax.
Please let me know what develops. ...Read more

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Thyroid nodule removed. Will another one grow back?

Possible: Many people will form multiple nodules. If you already have had one you certainly can form another. ...Read more

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Can a thyroid nodule be determined hot or cold after it's removed?

Can a thyroid nodule be determined hot or cold after it's removed?

No: You can tell if something is "hot" or "cold" on a thyroid scan. We use it to decide what to do with the nodule. Once it's removed, it doesn't matter if it's hot or cold. You will not be able to tell with certainty once it's removed. ...Read more

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If one-4 cm and two tiny benign thyroid nodules were removed 11 years ago, what are chances new nodules are malignant?

If one-4 cm and two tiny benign thyroid nodules were removed 11 years ago, what are chances new nodules are malignant?

Thyroid nodules: The chances of malignant nodules 11 years after removal of thyroid nodules is very unlikely.
Have you experienced any issues 11 years after thyroid nodules removed?
If yes, pl;ease see your doctor.
If no, relax and enjoy. ...Read more

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Nodule on thyroid. 1/2- thyroid removed for biopsy- doc said nodules hard- what does that mean? Waiting on path report

Nothing specific: A hard nodule does not indicate the nature of the lesion, either way. Pathology report should settle the matter.
Wish you good health! ...Read more

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Should a 3.2 CM thyroid nodule with an inconclusive biopsy be removed simply because of size?

Should a 3.2 CM thyroid nodule with an inconclusive biopsy be removed simply because of size?

Maybe: Most "inconclusive" thyroid biopsies are fine needle biopsies (fnas). "inconclusive" ones are usually benign but occasionally are not, and this can only be established with a proper surgical excision and full pathology examination. This is the reason to remove a nodule...Not its size. ...Read more

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Finding thyroid expert? Reading tells me large percentage of thyroid/nodules removed are benign. Medical papers refer to finding needle in haystack.

Cancer < 5%: Thyroid nodules are very common, especially as we get older. You are correct, most thyroid nodules removed are benign. There is a small risk of cancer in most nodules, but the risk goes up with significant medically history, like family history of thyroid cancer or history of neck radiation. ...Read more

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Should I consider surgery to removed Thyroid Gland with nodule (4.30cm×6.06cm×5.75cm)+ others not as big. W/several cystic areas? Non benign/cont. Growth

Thyroid nodules: This is a large nodule. What is meant by "non benign"? Has it been biopsied? Presumably this is "cold" on RAI scan and you are not hyperthyroid. There are many factors; talk to your endocrinologist. The main reasons for surgery would be 1. suspicion of cancer, 2. large nodule causing trouble swallowing/breathing. Surgery should be by an experienced thyroid surgeon (not just anyone). ...Read more

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Are heterogeneous complex thyroid nodules degenerating adenomas and have to be removed if peripherally vascular?

Depends: Increased vasularuzation of thyroid nodule rises suspension fior malignanccy. In this case fine needle aspiration of thyroid nodule is needed to rule malignantncy. Otherwise nodules with this appearance on thyroid ultrasound are generally benign. ...Read more

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A 2.3 CM solid nodule found on my thyroid on left lobe. No needle biopsy yet. Can I have the nodule only removed? Or is lobe removal the only way?

Thyroid nodules: If your thyroid nodule requires removal, the nodule can be removed, not the entire lobe. The nodule can be benign and may not need removal. Seek consultation from a good ENT or endocrinological surgeon for this. ...Read more

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Dr wants 2.9cm complex inconclusive thyroid nodule that started out smaller than 1cm 7 years ago removed is 1 month too long to wait to see surgeon?

Thyroid Nodule: Have you had a fine needle Biopsy? Is it a benign nodule or a cancer? It depends on the answer to these two Questions as to weather you should wait or not. ...Read more

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6cm complex nodule on thyroid, a few calcifications, heterogenous. Are chances high this is malignant? Should it just be removed without FNA results?

6cm complex nodule on thyroid, a few calcifications, heterogenous. Are chances high this is malignant? Should it just be removed without FNA results?

May need an FNA: There are many (5) criteria for determining whether a thyroid nodule is at risk for malignancy, and whether FNA is indicated. Calcifications (specifically, microcalcifications), are just one. Additional specific criteria (not just being "complex"), such as echogenicity, margin description, is required to make a further determination. Perhaps you could enter the full report for a better answer. ...Read more

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1.7 CM thyroid "isoechoic solid nodule" mid-lobe. 2 fnas both came back non-diagnostic. Told next step is my choice. Should I have the lobe removed?

1.7 CM thyroid "isoechoic solid nodule" mid-lobe. 2 fnas both came back non-diagnostic. Told next step is my choice. Should I have the lobe removed?

Probably not...: The fact that 2 FNA's came back as non-diagnostic, and that it is isoechoic suggest that the nodule is most likely benign. I would suggest going to a different facility (with good reputation) and repeating the FNA. Alternatively, you can wait another 6 months or so and repeat the US. ...Read more

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Swelling after thyroid surgery 3 days ago, the left lobe (a 4 CM nodule was on it) and the isthmus? Was removed. The whole area (including right under my chin) is huge. Is this normal?

Swelling after thyroid surgery 3 days ago, the left lobe (a 4 CM nodule was on it) and the isthmus? Was removed. The whole area (including right under my chin) is huge. Is this normal?

This: This is excessive swelling and should be seen asap. Typically an expanding hematoma (collection of blood in the wound bed where the thyroid lobe was removed) also causes excessive pain. If that is happening, see your surgeon right away. ...Read more

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I had my thyroid removed because pf papillary cancer. Sonogram shows three nodules - all small and avascular hypoechoic. They have not grown.?

I had my thyroid removed because pf papillary cancer. Sonogram shows three nodules - all small and avascular hypoechoic. They have not grown.?

Lymph nodes: Your doctor is likely surveying for the presence of enlarged worrisome lymph nodes, but the fact that they're small, uniform and lacking vasculature associated with papillary thyroid carcinoma is less concerning. Depending on the extent and subtype of your disease, continued close clinical follow up by an endocrinologist with expertise in thyroid cancer will be useful for you. ...Read more

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Thyroid nodule is pushing on my throat, coughing, hard to swallow, feels awful. Don't know size yet, but what indications would it be removed?

Get evaluated: An indication to remove the thyroid due to a nodule is if it's already causing compressive symptoms. However, you need to get an ultrasound first to make sure it's a thyroid module causing your complaint and not something else. ...Read more

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I m 27y.O now with solitary right thyroid nodule for 2 yrs. Tsh normal, fnac- cystic degenaration. Ultrasound- 33x26x23mm. Should it b removed?

I m 27y.O now with solitary right thyroid nodule for 2 yrs. Tsh normal, fnac- cystic degenaration. Ultrasound- 33x26x23mm. Should it b removed?

Not unless symptoms: Since the biopsy showed no cancerous cells, you can leave it alone unless it is continuing to grow larger or you develop symptoms affecting your speech or swallowing. Also, we are presuming that the biopsy targeted the correct area and the pathologist read the sample tissue accurately. ...Read more

Dr. Theodore Davantzis
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


Excise (Definition)

To surgically remove an organ or body part or tissue. This is done with ...Read more