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
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 more
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?
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 more
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 more
I have been experiencing a fullness feeling under my chin, almost tightness that does extend down the front of my throat. I have thyroid nodules but feel this might be too high in the throat for them. Going for an u/s scan tomorrow of thyroid to be sure
Thyroid Nodules: Thyroid nodules are very common. About 1 in 3 people develop them in their lifetime. The reason why we care, is that (in general) 5% of them turn out to be malignant. We also worry if they start to grow & put pressure on other structures in the neck, or become autonomous/overactive. An u/s will be helpful to evaluate. You should also discuss with your Dr. About checking TFTs & Thyroid Abs. ...Read more
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
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?
I have a 4cm benign (per FNA) follicular thyroid nodule. Nodule is not easily palpated. I have difficulty swallowing that is causing choking. Remove or wait 6 months? Is the chance of the FNA missing follicular cancer high enough to influence?
8yr old, lg thyroid, nodule on rt, TSH & free T4 high. US-nonspecific heterogenous echotexture of thyroid w nodular contour & inc vascular. Sig fam hx?
Unclear on question: Not clear what is being asked. Many with thyroid disease also have a family history of thyroid disease. ...Read more
Blood test TSH 3.40--considered "high" per lab. Has reference range changed lately? Free T4. 9 (normal range) have thyroid nodule, prolactinoma
Thyroid nodule has grown from 3.1 to 3.6 CM with normal blood tests except ALT 165 and AST 77. Any realation? Cause of elevated enzymes? No on any med
No relationship: A solitary nodule of the thyroid urrelatede to elevated liver enzymes. When a solitary nodule enlarges and is unrelated to a goitre, there is a potential for this nodule which if solid on sonogram and non funtional on scan might represent a transforming adenoma and as such should be resected. The elevated liver enzymes should be evaluated separately. ...Read more
Is single solid thyroid nodule more/less likely to be malignant in presence of just-id'd suppressed tsh, slightly elevated free t3/free t4, tsi of 313?
Nothing: Elevated CRP means nothing in this context. You do need to get a little bit of sunlight and/or some supplemental vitamin D and keep an eye on the nodules. Report any that start growing fast. ...Read more
I have 3 hyperechoic heterogeneous thyroid nodules, normal thy levels, high c reactive protein level and vitamin d low, what is this seeing enod soon?
No: D deficiencies common this time of year in northern latitudes, the cyst are likely benign and CRP come high frequently in many. ...Read more
Part of the gland: They will move upward with the rest of the gland when you swallow, and you can move them just as you can move your larynx and trachea once you know your way around your neck. Your physician can help you make the distinction from a lymph node or other mass. ...Read more
Luck of the draw: Some thyroid nodules are the result of radiation exposure (like chernobyl}. Many people form colloid cysts which are incidental and of no significance. Some may have a family history for a tendency of thyroid tumors. Whatever the cause, they need to be properly evaluated. ...Read more
Most: Thyroid nodules are benign some however can be cancerous. If you have a lump in your thyroid it should be followed closely by your doctor. Most benign thyroid nodules occur spontaneously without any known cause. As often happens with organs that have a secretory function (ie ovaries)fluid filled inclusions can form and grow. Follow-up with your treating physician. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read more
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read more
Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read more
Depends on the cause: If a nodule is due to hashimoto's thyroiditis (inflammation caused by autoimmunity, where one's own immune system attacks one's proteins and tissues), then taking thyroid hormone pills can shrink it. If it's a tumor that's over-producing thyroid hormone, radioactive iodine can kill it, and make it smaller). Fluid-filled cysts can be drained with a needle, but may grow back. Cancer needs surgery. ...Read more
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