Doctor insights on:
Thyroid Nodule Surgery Recovery Time
Should surgery be done for uncertain 3cm thyroid nodule? What are the possible complication in future if surgery is not done?
Biopsy: Has a biopsy been performed already? If so, and the results are uncertain, you should discuss this case with both an endocrinologist and with a surgeon. Complications from thyroid surgery are rare. Mortality from thyroid cancer is very low, but certain types of thyroid cancer can metastasize, and that is something you want to avoid. ...Read more
I have a complex thyroid nodule that was much smaller but has grown to 2.9 CM (it was less than a CM 7 years ago) and I can feel it, do I need surgery?
FineNeedle aspiratio: 4-7 % thyroid nodules can be cancerous. What was your TSH levels. Was a fine needle aspiration (FNA) ever performed on this nodule? If TSH IS NORMAL get FNA! If TSH lower than normal get Nuclear Thyroid Scan. If scan shows non functioning nodule...then get FNA. If FUNCTIONING NODULE check FT4 and T3 (liothyronine) levels. Good luck. ...Read more
Not yet: Hi. You don't need surgery yet. First you need a fine needle aspiration biopsy (FNAB). Ultrasound findings can make cancer less or more likely, but cannot confirm or exclude the diagnosis of thyroid cancer. And if it's NOT cancer, surgery would not indicated. FNAB with gene testing would be the most prudent next step in almost every case. Good luck! ...Read more
Yes: All thyroid nodules that are solitary and on scan are considered to be cold and not actively producing hormone have the potential to become malignant. As one gets older if there is a malignancy it tends to be more aggressive so that with spread to nodes there can be compliations. In the 20 age group tumors are less aggressive with cure rate high. leaving a benign adenoma can result in cancer ...Read more
My thyroid nodule fna came back as "benign follicularadenoma." I thought follicular growths had to be examinedthrough surgery. Are these results accurate?
Gray area: Thyroid fna can be difficult for a pathologist, on the limited sample, to be confident that the nodule is benign. For that reason, the pathology report may leave open the possibility that it is either benign or malignant. There is no absolute right or wrong, and it can depend on the experience and decisiveness of the examining pathologist. ...Read more
I was told I had a benign follicular adenoma after a fna on my thyroid nodule. is it possible to know this without surgery?
Cytology: Looking at a cellular aspirate is the first line test for evaluating a thyroid nodule. It should be collected under ultrasound guidance to ensure the sample is from the nodule. The accuracy is 90%. If there are doubts, the sample slides can be reviewed by a reference expert cytologist. Additionally, molecular testing can be done on material obtained at biopsy or on the pathology slides. ...Read more
Thyroid nodule with rare cluster ofoverlapping enlarged cells, grooves and pale chromatin. Rebiopsy or surgery? 2.9x1.1x2.2 cm
You have a choice: The results you are sharing are benign. The cells were likely from a fna biopsy. The size of your thyroid nodule meets criteria for removal, greater than 2.5 cm. Okay to talk to your doc and your surgeon about risk/benefits of waiting a few months with repeat ultrasound versus surgery now to remove one side of your thyroid. Good luck. ...Read more
Many factors effect whether surgery is appropriate. The size of the nodule, thyroid blood tests, biopsy findings from the nodule, and findings on thyroid ultrasound. These all need to be considered to make a sensible decision on how best to proceed. And your anxiety about cancer and family history of cancer also must be factored in during your discussion with your endocrinologist. I suggest a visit with an endocrinologist before any surgery is done. Most (90%) of thyroid nodules are not cancerous.
Good luck. ...Read more
I had a neck CT scan an it showed that I now have numerous thyroid nodules and a cyst. Since I'm having compressive symtoms do I need to have surgery?
Probably: The tyroid gland sits right on top of the larynx, trachea. As it enlarges due to the formation of multiple nodues, if they are not large and no compressive symptoms occur, one treats conservatively, possibly using hormone replacement if needed. If too large some form of cytoreduction may be needed. ...Read more
With hashimotos over time is possible to have a thyroid nodule that can swing someone into hyper mode.
technically its possible although the main effect of Hashimotos is to destroy thyroid tissue resulting in LOW thyroid function!
Hope this helps!
DR Z ...Read more
Possibly: Ghe tendency for transformation of a nodule in the thyroid gland depends on whether the nodule is solitary or multiple. The latter for the most part is a goiter and rarely if ever associated with Ca of thyroid. A solitary nodule has to be examined as to being hot or cold. If hot and functional Ca essentially doesn't occur. If the solitary nodule cold, there is a 30% chance of converting to Ca. ...Read more
I have thyroid nodules (no meds) connective tissue disease, unspecified. I am tired most of the time , have flare-ups of pain. Help?
No: will not......unless it grows so big that it is compressing your trachea... ...Read more
4 years ago radiologist scanned thyroid after tech didn't see anything. Saw 3mm hypoechoic thyroid nodule that "was mild on real time transmission" and "was probably a complex cyst". He said I didn't need a follow up ultrasound unless Dr feels it.ok?
Small Thyroid nodule: 3 mm is small and very common. Current ATA guidelines discourage biopsy of lesions less than 10 mm. If you aren’t having symptoms and don’t develop a mass, I wouldn’t worry. If you have any doubts, seek a second opinion and a repeat ultrasound. ...Read more
Doctor called that my SECOND FNA for 2.7cm thyroid nodule was FLUS AGAIN.ThyroseqV2 for SECOND time was blood/too few cells to be diagnostic What now?
A little confused?: FLUS=follicular lesion of undetermined sig. There have to be cells to make this diag. The usual thing is to redo the US/if nec FNA in a few months, dep on US. If there are cells a Thyroseq.v2 is very accurate for mutations. This sounds non-diagnostic. Make sure doc doing FNA is experienced. Likely need repeat. Ask for pathologist to reread. If 3rd FNA->path look immed to make sure adeq. New doc? ...Read more
What determines when thyroid nodules get biopsied v. Waiting a period of time(perhaps 3-6 mos.) and repeating ultrasound?
Thyroid function should be evaluated by blood tests, and ultrasound & nuclear scan
then determination can be made regarding the potential for malignancy and, therefore, biopsy. ...Read more
Options: A suspicious nodule must either be rebiopsied in 3-6 months, reultrasounded in 6-12 mo looking for enlargement, or if it is a suspicious follicular lesion then affirma or vericyte analysis of the nodule proteins or possible oncogenes which can point to the nodule as suspicious ( needs removal) or benign which can be watched. Would review with endocrinologist or experiences thyroid surgeon. ...Read more
Options: Are you having compressive symptoms now? Do you feel the nodule/s when you swallow? How big are the nodules? I agree with the recommendation to have another pathologist look at the "suspicious" slides. In any case, you will need to follow the size of the nodules serially to track changes. ...Read more
Is surgery the only way to treat a malignant thyroid nodule? Also how long would this operation take?
Have a "cold" thyroid nodule <3cm. Dr wants biopsy but i suggest surgery to get it over with. What do you suggest?
Biopsy: Most of the cold nodules on thyroid scans are benign but cancer has to be ruled out. Thyroid biopsy is a relatively noninvasive and simple procedure to perform and can give the answer. I would definitely suggest to start with a biopsy as an initial step. Then , if it is inconclusive or you feel very uncomfortable, talk to your physician. Good luck. ...Read more
I have a 4cm (mixed) thyroid nodule with a biopsy result of "follicular lesion". I'm a 23 year old healthy female. Is surgery the right path to take?
Probably: The thyroid gland is one composed of glandular tissue. When a solitary lesion appears with the components representing follicles of thyroid tissue, this may be a transforming lesion. The rule is that a solitary lesion may be or converting to cancer while the presence of multiple nodules represents goiter. A solitary lesion should be resected . ...Read more
I have a thyroid nodule on my right side which is 0.6 x 0.3 x 0.3 CM and it's giving me difficulty swallowing and breathing. Will I need surgery?
Too tiny: to give you symptoms but you might be suffering from subacute thyroiditis ...Read more
I have a small thyroid nodule and it's not only causing me to have difficulty swallowing but also breathing. Will I eventually need surgery for this?
Small nodule: should not give you any mechanical symptoms but you might be suffeeing from subaxute thyroiditis ...Read more
Can fna of thyroid nodule spread cancer if malignant? Also 6mm suspicious finding. Would that require surgery or observation? No thyroid issues.
Depends on pathology: Needle aspiration theoretically can spread cancer, usually breast or liver cancer. Thyroid, no data but possible. Did you have a suspicious finding on a biopsy? Meaning that a pathologist looked at the biospy under a microscope and thought the cells were suspicious for cancer. Normally a 6 mm nodule would be low risk and could be observed. How was the size determined? Suspicious cells = surgery. ...Read more