Doctor insights on:
Thyroid Nodules And High Calcium
Calcium 2.38mmol/l, TSH 13.5mu/l, pth 4.6 pmol/l. I have hashimotos and 2 thyroid nodules less than 1cm. What does this mean?
Various: You have various problems. Your thyroid level is low and needs to be treated with brand name T4 replacement. The nodules depend upon what they look like on ultrasound and other thyroid blood tests. May beed biopsy. Calcium is normal. Don't know the normals for PTH in pmol/l-also varies with type of PTH assay. Talk w/your doctor. ...Read more
TSH 0.6 (0.4-4.0) Calcium, phosphate, adjusted calcium all very bottom of normal. I have a small thyroid nodule does this account for my lower scores
Possible: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, depending on the nature of the nodule it is possible that a nodule made of c cells of the thyroid may cause the calcium to be low. ...Read more
3.4 thyroid nodule borderline pth high ca choked on a pill now have trouble swallow sometimes. i have anxiety and treated for GERD what is going on ?
Male with dominant homogenous solid thyroid nodule in midpoint that measures 1.1x1.3x1.7. Does this indicate a high cancer risk? Are most benign?
Most are benign: Hi. Yes, most nodules with those characteristics are benign. I'll assume you're not hyperthyroid (hyper-functioning nodules are NEVER cancer). Nevertheless, the chance of cancer is high enough (about 10-15% for nodules like that) that you MUST get it biopsied (non-surgical needle biopsy with gene testing is recommended). Don't ignore it, and don't ASSUME benignity. Cheers! ...Read moreSee 1 more doctor answer
Male with dominate homogenous solid thyroid nodule measuring 1.1x1:3x1.7. US says somewhat hyper-vascular. Are the cancer risk high? Need a FNB?
Could be cancer: Hi. A nodule with those characteristics could be a cancer, although the odds are in your favor that it's not based on years of data on thyroid nodules. You need an FNA, and I recommend doing it with gene testing (such as the Afirma thyroid FNA system; your endocrinologist will be aware of this, and probably uses it). The gene testing reduces surgery for non-diagnostic cytology. ...Read moreSee 1 more doctor answer
My TSH is on the high side of normal and I take levothyroxine. Am I at lower risk for developing thyroid nodules as a result?
M w/ hypothyroidism (2 yrs). US identified dominant homogeneous solid thyroid nodule >1 CM . No mention of hyper or hypoechoic. Are cancer risk high?
Not necessarily: Incidence of malignancy is 4% when a solid thyroid nodule is hyperechoic. If the lesion is hypoechoic, the incidence of malignancy rises to 26% although using this as criteria to determine likelihood of malignancy isn't very accurate. In general, thyroid cancer is an uncommon malignancy which constitutes about 0.5% of all malignancies. Follow up with your doctor is recommended for additional tests ...Read moreSee 1 more doctor answer
Thyroid nodule. FNA benign. male. Last 2 tests. TSH high normal 4.0, and 4.2. FT4 Normal. TPO AB high at 39 (0-9 range)
do I need medication?
No: One of the questions with regard to thyroid nodules pertains to number and activity of the nodule. If on scan one sees several nodules, the dx for the most part is goiter. FNA can easily miss the nodule or can be read as an adenoma. A functional scan should be performed. If hot the nodule should be left alone. If the solitary nodule is cold there is a 30% chance the nodule is or will be Ca. ...Read more
Blood test TSH 3.40--considered "high" per lab . Has reference range changed lately? Free T4 .9 (normal range)
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