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Toxic Uninodular Goiter
A nodule: Hi. A non-toxic uninodular goiter means you have a nodule in the thyroid that is NOT autonomously over-producing thyroid hormone. There is a risk the nodule is a thyroid cancer, so your doctor will probably send you to an endocrinologist to get a fine needle aspiration biopsy. If the nodule is benign, you leave it alone; if it's cancer, you head down that path (most are benign). Good luck. ...Read more
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?
Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read moreSee 2 more doctor answers
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Well...: A thyroid nodule is technically not "benign" unless it's surgically removed and the pathologist found no cancer in the specimen. A nodule that is still in your neck could still be cancerous despite a "benign" biopsy because not all of the nodule is cancerous. Sometime it's just a speck that is cancerous and was missed during the biopsy. That's why it's important to continue to follow the nodule. ...Read moreSee 1 more doctor answer
Goiter: Goiter is simple enlargement of the thyroid gland. Most often, it's due to insufficient dietary iodine or familial inheritance. Non-toxic means that you are not producing an abnormal amount of thyroid hormone. Uninodular would specifically mean that you have a single nodule within the thyroid. Usually a solitary nodule should be evaluated with needle biopsy or followed closely with ultrasound. ...Read more
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read moreSee 2 more doctor answers
Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?
thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more
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