Doctor insights on:
Symptoms Of Uninodular Goiter
Symptoms?-I can help: Most multi-nodular goiters do not cause symptoms and are discovered on routine physical exam. If the goiter is large enough, patients may have compressive symptoms that can include difficulty breathing (especially when lying flat), food or pills getting "stuck" in the throat, choking sensation, or a fullness in the neck. ...Read more
Could be: It is difficult to reliably sonographically differentiate hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease. A diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation. ...Read more
Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more
Rollercoaster: Hashimoto's is a rollercoaster, with periods of high energy followed by times of extreme fatigue..increasingly tired or sluggish, anxiety, lump in your throat that you can’t swallow, hoarse voice, a tight feeling in your throat, panic attacks, insomnia, depression, unexplained weight changes, diarrhea/constipation, can't tolerate heat or cold, muscle/joint aches and pains, and more. ...Read moreSee 1 more doctor answer
Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?
Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
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
Increased likelihood: Yes, likelihood of thyroid CA is increased with chronic thyroid disease like yours. It does not mean though that you already have or definitively will have CA, but you MAY develop it. You must be monitored to have a chance to catch CA early. At this time the only advise I give is to be consistent with your treatments and follow ups as it is recommended by your treating MD. ...Read moreSee 1 more doctor answer
Prominent vessels in lobe of thyroid, nodule on other lobe, hypothyroid, inconclusive fna of nodule?
Pathology cytology report of Left thyroid biopsy says NO malignant cells... changes suggestive of Colloid nodule/ nodular Goiter. What's next?
MNG + cyst: Hello ~ this is a nodule in MNG (multi-nodular goitre). Previously thought to have no risk of Ca and DOMINANT nodule to have 1% risk and solitary nodule 10% risk. Retrospective studies now show up to 13.7% risk of cancer overall in MNG. Thats high. I would see a surgeon to discuss if this warrants thyroidectomy. thanks ...Read moreSee 1 more doctor answer
None: True subclinical hypothyroidism should have no symptoms because the free hormone levels are normal. It is only the TSH that is elevated. I think of this as the body is having to work a little harder to produce appropriate amounts of thyroid hormone (thus needing more TSH to meet those needs). ...Read more
Maybe no symptoms: A non-toxic goiter is simply a goiter - an enlarged thyroid gland. This may be metabolically hyperactive or hypoactive or you may be euthyroid - no change in activity. If very large, they can cause swallowing or breathing symptoms. If you think you have a goiter, you should be seen by your doctor. ...Read more
Hmm: Microcalcifications in a thyroid nodule are from small calcium deposits in the cells. Thyroid cancer can be associated with this finding, however, benign nodules can also have them. A nodule with microcalcifications should have a fine needle aspiration to help diagnose which it is. ...Read moreSee 1 more doctor answer
Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland. ????
Biospy of thyroid report "Macrofollicular thyroid parenchyma, suggestive of nodular hyperplasia" What does this means?
Hashimoto's nodule: Hashimotos thyroiditis involves inflammation of the thyroid. Often there can be patches of inflammation, and inflammation then leads to scarring (fibrosis). This scarring creates the appearance of nodules. The likelihood of cancer in these nodules is very low, and frequently these "nodules" do not require biopsy. ...Read more
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