Doctor insights on:
Thyroid Nodule With Dominant Cyst
Right thyroid cysts. Dominant mid pole left predominantly solid left thyroid nodule subcentimeter solid upper pole left nodule. What does this mean?
Thyroid cyst- benign: The nodule in left upper pole, which is solid in nature, did they do any blood test to r/o excess thyroid hormone secretions? Thyroid cysts are benign fluid collections most of the time from degeneration of cells (dead cells in a particular area). The nodule needs to be followed up to r/o thyrotoxicosis, possible malignancy. Fine needle Biopsy, Radioactive Iodine uptake study will r/oabove condns. ...Read more
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
I have several heterogeneous thyroid nodules and cysts with 7mm biggest in size. What does this indicate?
Common. Don't worry: Many people have nodules as they get older. Don't worry about them if they are less than 1cm in size. When and if they get bigger, then we biopsy the solid ones and aspirate the fluid with a needle. ...Read more
Had a 3x 2x1mm thyroid nodule that radiologist said most likely a complex cyst. Tech didn’t see it but radiologist found it when he scanned me. Said I didn’t need follow/up ultrasound unless I wanted. Been 4 years since and dr doesn’t feel anything. Ok?
3 mm nodule benign: Lesions of concern usually begin as a palpable nodule. When there is a significant nodular lesion the question as to hot and producing hormone or cold and non responsive to stimulation. Since lesion is 4 yrs I n duration, has not progressed to involve nodes in neck one would consider lesion as benign. Periodic yearly neck exam should continue ...Read more
I was told that my ultrasound showed a cyst on my thyroid nodule, could that be causing my on & off, but lately, more frequent hoarse/gravely voice?
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
I had a lump on my thyroid, doctors said it was thyroid nodule I have biopsy done and its was a epidermoid cyst. But I don't think its that. Any suggs?
Epidermoid cyst: Is there reason to doubt the pathology report? It provided a specific histologic diagnosis of an entity that can be found in the thyroid region? ...Read more
4 years ago, incidentally found isoehoic thyroid nodule 3x2x1mm. Radiologist said likely complex cyst and no follow up needed unless it could be felt at exam. Have had multiple ent exams since and nobody feels anything. Never did another u/s. Ok?
I have a 3mm thyroid nodule (cyst). Labs are normal. I still have all the symptoms of hypothyroidism. Doc says to come back in 6 months. Help.
1.5 cm thyroid Nodule diagnosed by FNA as indeterminate. Having 2nd FNA in 4 wks for some kind of genetics testing. Cysts & another nodule. Cancer?
Maybe: Glad you are getting it repeated. Usually these are slow growers and if you comply with instructions when you get your results, you will probably be okay. ...Read more
Unlikely but ask doc: Most of the the thyroid nodules are benign, cystic nodules are even more benign, but sometimes a small focus of cancer could be inside the cyst, to be sure most of the time after fine needle aspiration (fna) will be done by your doctor send for biopsy (cytology) to be sure it is benign.. ...Read more
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
What is a innocuous and isoechoic thyroid nodule. Also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?
Hard to say: It's hard to say without seeing the actual images. An isoechoic nodule is typically nonspecific and potentially falls in the indeterminate range (ie need follow up or biopsy). Same thing for a heterogenous "nodule" with tiny cystic spaces. A "complex cyst" with tiny cystic spaces can be a sponge like cyst that is typically benign. ...Read more
I have a solid and cystic thyroid nodule (.9 x. 7 x. 5 cm). how long is normal to wait before a follow up ultrasound?
Thyroidologist: Your thyroidologist, endocrinologist, or thyroid surgeon is best qualified to answer this question. He or she, who has examined and evaluated you, would sit down with the radiologist who interpreted your ultrasound and determine the best interval between your ultrasound and the next one and whether a needle biopsy is advisable at that time ...Read more
I just had fna done on 1 of 3 thyroid nodules and report say 3cm heterogeneous soild nodule w/small cystic components, what does this mean?
What does this diagnosis mean, Left thyroid: cystic lesion with hemosiderin-laden macrophages. Its my cytology report from a thyroid nodule.
Probable benign: Most cystic lesions and not pure cysts usually respresent breakdown and hemmorhage into a benign neoplsm. The presence of macrophages and hemosiderin suggest some form of inflammatory condition such as Hashimoto's thryoiditis. Unless there are changes on physical and thyroid scan suggesting further growth, conservtive management is suggested. ...Read more
I have a tyroid nodule, 1.6 x. 9 x 3 cm. Heterogeneously attenuating predominantly cystic right thyroid nodule. What's it mean and could it be cancer?
Thyroid: Its highly unlikely to be cancer. The odds favor this being a thyroglossal duct cyst. Pts often present at you age. You don't say where exactly your mass is. TDC is usually near midline. Another possibility is a branchial cleft cyst which is also a congenital problem. Your docs may want to do a CT guided fine needle biopsy. Hang in there. I think you will be fine. ...Read more
.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain
Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. 0.2mm growth in 11/2 years is slow growth. Most malignant tumors grow faster. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. You are correct in getting follow up US exams. Hyperechoic lesions are denser sometimes with calcium. ...Read more
Hello I recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?
Biopsy: Hi. Assuming your thyroid function is normal (not hyperthyroid), the thyroid nodule you describe needs fine needle aspiration biopsy for cytology (and hopefully genetic testing) to see if it's cancer. If it's not cancer, you can leave it in and just follow it, and thus avoid surgery for a non-cancerous tumor. I have to assume that whoever ordered the ultrasound has told you that you need FNAB. ...Read more
Thyroid nodule cystic/solid hypoechoic heterogeneous Size 6mm 3 years follow up no size change biopsy it? Was cystic now mix& heterogou Risk cancer %
Nodule: If no size change, probably benign. More concern if microcalcifications seen on US ...Read more
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
Thyroid nodules on CT. US found 10+ nodules, 2 largest about 2.5 cm and are "mixed cystic and solid". Dx benign multinodular goiter. Followup needed?
Watch it yourself: Get acquainted with how your gland feels. If one of the nodules starts getting appreciably bigger while the rest stay the same, get seen. This may happen but isn't likely. Best wishes. ...Read more
Known thyroid nodule, colloid area recurrent cysts, now pressure/pulling on neck especially lifting arm?
Surgery: Now that your thyroid is causing you symptoms, I would advise you to consult with a surgeon about having your thyroid gland removed. ...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
3.5cm thyroid nodule, ultrasound found solid mass and fluid filled cysts w/ calcifications. Lymph node near carotid. Could it be cancer? Still waiting
Seen Endocrinologist have one. 5cm partly cystic and party soild thyroid nodules no blood flow, went to recheck in 6 months what's next?
Thyroid nodules: TN are very common and largely benign. You benefit from monitoring, if they grow they will be further evaluated or removed before something ominous happens. Your thyroid blood levels will be checked, you may need thyroid replacement. Mostly, thyroid nodules are low risk health issue. Be well. ...Read more
34 Yr old M. Dominant Homogeneous Solid thyroid nodule measuring 1.1x1.3x1.7 cm. Somewhat hyper-vascular. Appt. 8 weeks away. Recommended steps? Risk?
If fast growing: Or if you have symptoms, I would find another specialist to see sooner. If you call the one that is 8 weeks away several times this coming week, you will likely get in earlier due to a cancellation or just based on persistence alone. ...Read more
I have stable, dominant 10 mm left thyroid nodule with possible internal microcalcifications. What does it mean? Do I need thyroid scan?
Thyroidologist: Usually, in women especially multiple thyroid nodules are all benign. However, that being said, if there's any doubt a needle biopsy is the diagnostic procedure of choice. I feel that an endocrinologist or preferably a thyroidologist is best qualified to evaluate, treat and follow you. Thyroid scans or ultrasounds alone don't usually settle the problem in my experience. ...Read more
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