Doctor insights on:
Thyroid Nodules And Lupus
Went in for followup u/s for left thyroid nodule. Came back as nothing on left but new nodule on right. Worried they got the sides mixed up. Possible?
Not likely: Ultrasound exams are performed by trained technicians and supervised by physicians on site, so a mix up is unlikely. It is, however, common for many people to have multinodular goiter, meaning many cysts on both sides of the gland. These are usually benign & require no further evaluation. If concerned, a needle biopsy can be performed. ...Read more
Dr said follow up u/s in one year for 7 mm hypoechoic thyroid nodule. Is this too long to wait? Or normal?
7mm thyroid nodule seen on u/s, then endo did own u/s and didn't see anything. Said I could get f/u/s in 1 year? Too long to wait? Been 10 months.
Incidental thyroid nodule found measuring 7mm hypoechoic.1 month later thyroid specialist said there was no nodule. Do I need another u/s? If so, when?
Not necessarily: A 7 mm thyroid nodule is considered well under the 1 cm size at which we start to be more concerned. The endocrinologist didn't even see one when you followed up. I would not recommend any planned follow up with imaging. Other favors are important like your family history of thyroid problems, exposure to ionizing radiation, thyroid function tests, & thyroid antibodies. Ask endocrinologist. ...Read more
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...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
Yes if ignore it: See your doctor, after evaluation, possible FNA biopsy then you don't you don't have to be concerned. ...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