Doctor insights on:
Thyroid Nodule Affect Singing Voice
I have a thyroid nodules but it's hard for me to raise my voice, my voice sounds hoarse a lot, what can I do?
See an ENT: Hi, you should have your symptoms evaluated by an Ear/Nose/Throat specialist to make these nodules aren't progressing and hurting your vocal chords. Additionally, you should either see your primary care physician or an endocrinologist to continue to monitor the nodules. Hope this helps! ...Read more
Thyroid nodules. 17x10x14mm Hoarse voice. Microcalcification w/ mild increased vascularity. Hoarse voice. Labs normal. FNA next week. Cancer? Thanks
Wouldn't a 1.1x1c.M. Solid thyroid nodule already be growing? It couldn't have started at that size could it?
Thyroid nodule: Of course the nodule starts from small abnormal cells to large mass. Thyroid nodule is either not noticed or checked by patient. It can be incidental finding on us or ct for neck for other reasons. Important thing is to take care of it. See endocrinologist. Pls read http:// doctorrajput. Com thanks. ...Read more
I saw 25 doctors for a 3mm thyroid nodule-- every dr said the same thing - benign. But I couldn't stop going to appts. What's wrong with me?
Somatoform illness: You may be suffering from a type of somatoform disorder known as hypochondriasis, which involves excessive worry about having a serious illness. It might help to discuss your worries and anxiety with a therapist to help you understand the reasons for your concerns and help you to cope better with your persistent fears if medical workups have all been negative. ...Read more
Small thyroid nodule on right side of neck only; hasn't noticeably grown in five years. Chance it will ever grow? What percent of nodules do grow?
7mm thyroid nodule seen on u/s, then endo did own u/s and didn't see anything. Said I could get f/u u/s in 1 year? Too long to wait? Been 10 months.
Images: "hot" or "cold" is a term related to the appearance on nuclear medicine imaging. A "hot" nodule is one that is too active, and secretes hormone, but benign. A cold nodule takes up less tracer. About 20% of these are malignant, and so they are biopsied. Cysts will also show up cold as they are fluid rather than tissue, so this study should be interpreted along side an ultrasound. ...Read more
Generally not: Look for other causes. One uncommon cause is vocal cord dysfunction, which can feel just like an asthma attack, but is not relieved with inhalers. Esophageal spasm is another cause. Getting stuck on a preconceived diagnosis prevents the proper one from being made. See your doc, and describe your symptoms in detail to him, in order for the proper diagnosis to be made. ...Read more
Depends on type:
If cancer, surgical removal and then treatment, possibly with radioactive iodine. If benign, but causing hyperthyroidism, then treat with radioactive iodine, antithyroid medicines, or possibly surgery.
If benign and not causing symptoms, can watch closely (after benign biopsy) or use thyroid medicine to suppress growth of the nodule. If it causes symptoms (trouble swallowing), surgery. ...Read more
Variables: Radioactive Iodine treatment for hyperthyroidism tends to have a much higher success rate than medications. Depending on the dose of radioactive iodine chosen, and the disease under treatment (Grave's vs toxic goitre, vs hot nodule etc), success rate in achieving definitive resolution of the hyperthyroidism may vary from 75-100%. A major expected side effect of radioactive iodine in hypothyroidism ...Read more
Depends: Hypoechoic, hypervascular, or calcifications on ultrasound need to be addressed particularly if the nodule is > 10mm. The solid component of a complex nodule can be benign or cancer. Typically a nodule greater than 10mm should be biopsied by ultrasound or smaller if there are calcifications or prior history of radiation or family hist. There is no ultrasound pattern that is diagnostic for cancer. ...Read more
Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us). It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it. While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers. But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules. ...Read more
Not the best questn: Your better question is what steps to you need to take to increase you chance of survival with this process. Close and honest discussions with your treatment team can provide you the best answers. ...Read more
Not common: Teens can have all the thyroid conditions that older people have, but these conditions are much more rare among teens. Isolated benign nodules, multinodular goiters and thyroid cancer can all occur in this age group and need to be appropriately evaluated and treated...Just like an adult. ...Read more
Thyroid nodules: No, most thyroid nodules are not cancerous. A thyroid ultrasound is very sensitive at picking up tiny and often insignificant nodules. There are some features of thyroid nodules that make them more suspicious, such as large solitary "cold" ones, and other features. The best person to evaluate is an Endocrinologist who does his/her own U/S guided biopsies. ...Read more
Very common...: And most patients have them by the time they are elderly. The vast majority are benign. Please see your physician to review/obtain blood work, physical examination and any necessary imaging. Some nodules need to be biopsied to determine if it is benign. Your physician can work out an appropriate plan to manage your thyroid nodule. ...Read more
No: The majority of lumps in the thyroid when noted to be multiple on scan represent the condition "multinodular goiter" These are almost always benign. When a solitary lesion is present that is "cold" on isotope scan, this is suspicious for possible malignancy and should always be removed. Bx has a certain degree of error especially if a follicular lesion looking benign has invaded capsule. ...Read more
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
Yes, it can shrink. Most solid nodules are adenomas and are benign. If it shrinks that is a good sign...It is. Likely benign.
It is the ones that get larger or are large when they are first found that need closer assessment. In this case a biopsy may be needed to assess more closely.
Btw thyroid nodules are pretty common. ...Read more
Most Are Benign: Doctors' don't "treat" thyroid nodules unless there is concern for cancer or they get big enough that they cause problems. Solitary nodules are more concerning for cancer than thyroids with multiple nodules in them. If there is a concern for ca they are biopsied. If worrisome, the half portion of the thyroid with the nodule is removed, not just the nodule. See my comment below for more. ...Read more
Possible: It can if it's large enough.Get a more detailed answer ›
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