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Doctor insights on: Surgery To Biopsy A Cystic Nodule Of Thyroid Gland

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I'm 20wk preg. Having cold nodules on thyroid gland. Will go for biopsy. On thyroxine tablets. No swelling. Is it cancerous and hope baby is fine.?

I'm 20wk preg. Having cold nodules on thyroid gland. Will go for biopsy. On thyroxine tablets. No swelling. Is it cancerous and hope baby is fine.?

Pregnancy: Thyroid cancer in pregnancy is uncommon. Most thyroid cancers diagnosed during pregnancy can be observed until delivery. If there is a positive biopsy and aggressive clinical behavior (spread to lymph nodes) then surgery during the 2nd trimester might be considered. If this becomes the case, see a surgeon who has experience either this unique situation. ...Read more

Dr. Neigatha Graney
2 Doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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A 0.3 x 0.5 x 0.3 CM hypoechoic cystic nodule with punctate internal echo is noted in the lower pole of the right lobe of the thyroid gland.?

Small nodule: Often cystic thyroid nodules can have denser regions called "punctate foci". If the nodule is not cystic those can also be microcalcifications, a finding that increases the risk of thyroid cancer. The key though is that the nodule is very small and therefore requires monitoring only, no matter what its nature may be. ...Read more

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Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Possible biopsy: Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Most findings are benign and typically are cysts. Biopsies are done routinely for solid nodules to make sure they are benign or not. You may require some thyroid replacement but thyroid blood tests are also required. She your primary or an endocrinologist since they specialize in thyroid issues. Good luck ...Read more

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Lump in my right throat. TSH, T4 normal, UTZ results: slightly enlarged right thyroid gland with complex cystic & small nodules. Should I be worried?

Lump in my right throat. TSH, T4 normal, UTZ results: slightly enlarged right thyroid gland with complex cystic & small nodules. Should I be worried?

More No than Yes: The thyroid is a cystic gland controlled by hypothalamus (TSH) via anterior pituitary (TRF) to manufacture & secrete T3+T4. If thyroid cysts coalesce or locally enlarge, then cysts large enough to see via current US technology can be seen. This still indicates something not optimal but it is solid nodules which are far more worrisome &, though less frequent, far more likely to be thyroid cancer. ...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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Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in future. Inconclusive?

Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in future. Inconclusive?

Parotid mass: Your doctor will probably want an FNA, fine needle aspiration to obtain cells that can be examined by a pathologist. Probably will be benign but your ENT may suggest it be completely excised. ...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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Decrease in thyroid gland size and increase in thyroid nodule size?

Decrease in thyroid gland size and increase in thyroid nodule size?

Concern: Thyroid gland do not change in size that much. Majority of thyroid nodules are benign, increase in size is a concern, should have fna biopsy (cytology) to make sure there is no malignancy in it. ...Read more

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Exophytic nodule posterior to rightllobeof thyroid gland increase in size from 2cm to 2.2cm how serious is this situation.?

Get a biopsy: It is impossible to answer without actually seeing the imaging, the duration over which the nodule grew, or any other symptoms. Benign exophytic nodules are not uncommon, but a biopsy will help determine if there is something to be concerned about. ...Read more

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Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????

Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????

Lobe enlarged: This should be of no significance if your thyroid hormone levels are all normal. There are no suspicious findings of benign or malignant growths. If you have further concerns a thyroidologist or endocrinologist would be best qualified to evaluate and advise you. ...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 gland slightly enlarged but has homogeneous texture. Right nodule noted 0.5 × 0.3 × 0.3. No hypervascular on doppler in both gland what isit?

Follow up nodule: thyroid nodules are very common especially in older patients. The vast majority are not cancer and just hyper plastic nodules (overgrowth of normal tissue). In young patients like yourself thyroid nodules should be watched more closely. A nodule less than 1 cm in size does not require biopsy unless there are suspicious features such as calcification or increased blood flow. Talk to your doctor. ...Read more

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Does anyone know how much a fine needle biopsy on a thyroid gland will hurt?

I DO!!!: I have performed many thyroid fine-needle biopsies and have had more than a few biopsies of my own thyroid. To be honest, it hurt more than I expected when I had my first biopsy because I didn't anticipate that the thyroid has pain fibers (it does). However, the pain is very short-lasting and, as a typical low-pain threshold man/doctor, if I can handle it... ...Read more

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Diffusely heterogeneous thyroid gland with multiple bilateral hypo echoic micro nodules. Increased vascularity. What does this ultra sound result mea?

Diffusely heterogeneous thyroid gland with multiple bilateral hypo echoic micro nodules. Increased vascularity. What does this ultra sound result mea?

Thyroidologist: A thyroidologist or endocrinologist is best qualified to evaluate and advise you about your thyroid status and ultrasound findings and to determine whether a needle biopsy and/or referral to a thyroid surgeon is advisable. As a rule multiple nodules are more apt to be benign as opposed to a single cold nodule in males. Follow-up in these cases are also important even after the first consultation. ...Read more

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I have a 8.5 cm nodule on one side and a 2.0 cm nodule on the other side of my thyroid gland. My doctor says I need a RAIU, then go see an enchronolog?

I have a 8.5 cm nodule on one side and a 2.0 cm nodule on the other side of my thyroid gland. My doctor says I need a RAIU, then go see an enchronolog?

Thyroid mass: You should consider a biopsy first. One may also consider surgery. A negative biopsy is not 100% accurate. Sometimes small cancers can be missed. The growth of nodules are important also. If rapid growth then remove. Slow growth favors benignity but does not guarantee it. In short take out the large nodules. ...Read more

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How can my thyroid gland have a nodule, but I can't feel it?

How can my thyroid gland have a nodule, but I can't feel it?

Size: If it's small and centrally located, you might not feel it. Ultrasound is the best way to "pick up" or detect these small nodules. ...Read more

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For thyroid gland is boarderline enlarged. Right has single nodule likely adenoma. What does this mean?

Probably benign: Many thyroid glands are enlarged, and borderline means just slightly above normal size. The only way to tell if a thyroid nodule is benign or cancerous is with a biopsy. While some other tests may suggest it is benign the biopsy is the best way to tell. ...Read more

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I got thyroid results today and it was " Diffusely heterogeneous thyroid gland without discrete dominant nodules." what does that mean?

I got thyroid results today and it was " Diffusely heterogeneous thyroid gland without discrete dominant nodules." what does that mean?

Heterogeneity: Heterogeneous means the size is irregular in terms of thickness throughout. Homogenous is the opposite and would mean the gland is uniform in size. Nodules are important to find because they can be functional or "hot" nodules that secrete too much thyroid hormone. Nonspecific heterogeneity may be thyroiditis or Graves Disease. See Endocrinology for follow up. ...Read more

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I'm on Euthyrox for life cz if I stop I get nodules in my thyroid gland. That's all I know. Would you please explain more about my condition? Thank you

Probably not related: If you require thyroid hormone for life, then stopping it may result in an increase in the overall size of your gland (a goiter) which should shrink when you restart the hormone, but nodules are generally not caused by stopping thyroid hormone. You should check with an endocrinologist about this. ...Read more

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Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

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

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Thyroid. 6mm nodule cyst that is HYPOECHOIC Is that cancer risk? Thyroid gland self homogeneous normal size

Thyroid. 6mm nodule cyst that is HYPOECHOIC Is that cancer risk? Thyroid gland self homogeneous normal size

Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. Why did you get thyroid scan in the first place? Most nodules of this size are not appreciated on physical exam unless very superficial. ...Read more

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Would having thyroid nodules and an enlarged thyroid gland cause me extreme tiredness, I have not got an over or under active thyroid?

Would having thyroid nodules and an enlarged thyroid gland cause me extreme tiredness, I have not got an over or under active thyroid?

Look for another cau: If your thyroid is functioning normally (not under active) then the cause of your tiredness is not thyroid related. There are many other causes that only your doctor can define/address by examining you and testing your lab. Make sure that you are not anemic (check cbc) and your emotional health is normal and that you are sleeping well. Anyone of these can be cause for day time fatigue and need attent. ...Read more

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I am being tested for a nodule "outside" the thyroid gland, not "in" it. I have several symptoms for the last 2 years. Throat or thyroid?

Nodule: Could be many different things including ectopic thyroid nodule, parathyroid gland or lymph node. An fna (fine needle aspirate) may be helpful and would allow a pathologist to evaluate cells from this nodule. Best of luck. ...Read more

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I had nodules in thyroid gland doctor prescribed 62.5 daily dose of euthyrox for the rest of my life. Do I need to check with my doctor again?

Thyroid testing: You should have regular monitoring of thyroid blood levels, initially every 3 months, then 6 months, then if stable yearly. ...Read more

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What does examination of the neck shows thickened thyroid gland with mild tenderness on palpation no nodules appreciated mean please. Thank you?

? thyroid inflammatio: If your thyroid is enlarged and the tenderness is truly over the gland in the midline you may have subacute thyroiditis which is usually caused by a viral infection and runs its course in a few weeks. I can sometimes cause transient thyroid overactivity. Aspirin is said to help with the discomfort ...Read more

Thyroid Gland (Definition)

It is an endocrine gland which produces thyroxin hormone which controls the metabolism in every cell in the body. It produces 80 to 90%t4 and 10 to 20 %t3. These control rate of metabolism and affect the growth and rate of functions of many cells in the body it is ...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