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Doctor insights on: Vascular Thyroid Nodule

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What percentage of heterogeneous, complex peripherally vascular thyroid nodules are cancer?

It depends: Thyroid nodules are mostly (80-90%) benign. But it depends on their size and rate of change (growth in their size). A repeat Ultrasound study of your Thyroid should be done (I am sure your doctor must have advised you to do so)) in 6 to 12 months time to reassess for any growth in the nodules in your Thyroid. ...Read more

Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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I have a cold solid vascular thyroid nodule that has doubled (now 4cm) in 6 months. Had fna, was benign so they are not worried. Should it come out?

I have a cold solid vascular thyroid nodule that has doubled (now 4cm) in 6 months. Had fna, was benign so they are not worried. Should it come out?

Yes: The bigger the thyroid mass, the higher the likelihood of false negative (benign result although cancer still possibly exists) because you could possibly have a fleck of cancer within this 4 cm mass that was not sampled in the biopsy. Since you are very young (32 yo), a 4 cm mass should probably be removed. Otherwise, you should follow this closely and repeat the biopsy if more changes are seen. ...Read more

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1 CM hypoechoic solid and vascular thyroid nodule found and confirmed on us. Biopsy scheduled for january. How concerned should I be?

1 CM hypoechoic solid and vascular thyroid nodule found and confirmed on us. Biopsy scheduled for january. How concerned should I be?

Up to you.: Sounds like it could be a cancer. But there is little benefit to worrying about things that might happen as there is also a chance that they might not happen. The biopsy will give you an answer. There is no reason to do a biopsy more quickly than what is scheduled. Until then live your life as you would normally. ...Read more

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3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...Read more

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What does increased vascularity in thyroid nodule mean?

Increased blood flow: There is more blood flow to the thyroid nodule than the surrounding thyroid tissue. Could represent an adenoma or tumor. Needle biopsies are frequently done for further evaluation if a nuclear scan is not helpful. ...Read more

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Mri & ultrasound found retrosternal, mixed density, inhomogeneous, moderately vascular complex thyroid nodule from mid to lower pole. What's it mean?

Mri & ultrasound found retrosternal, mixed density, inhomogeneous, moderately vascular complex thyroid nodule from mid to lower pole. What's it mean?

A word of caution.: Many physicians perform fine-needle aspiration biopsy; the use of ultrasound will increase the likelihood of biopsying the correct location within the thyroid. There is a significant false negative rate of biopsy even with ultrasound, and the intrepretation of the biopsy varies a great deal based on the experience of the pathologist. Do not base any medical decision solely on the biopsy results. ...Read more

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With regards to cancer, peripheral vascularity versus intranodular vascularity in complex thyroid nodule. Explain difference.

With regards to cancer, peripheral vascularity versus intranodular vascularity in complex thyroid nodule. Explain difference.

Explain: It is tough to fully understand your question.
Do you have a thyroid nodule? Do you have thyroid cancer?
Peripheral vascularity versus intranodular vascularity in complex thyroid nodule - is that something your doctor (s) have told you or is this some research you are exploring?
Please keep in touch with me if you don't mind. ...Read more

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Are heterogeneous complex thyroid nodules degenerating adenomas and have to be removed if peripherally vascular?

Depends: Increased vasularuzation of thyroid nodule rises suspension fior malignanccy. In this case fine needle aspiration of thyroid nodule is needed to rule malignantncy. Otherwise nodules with this appearance on thyroid ultrasound are generally benign. ...Read more

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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

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Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

Hyperplastic nodule: This sounds like a hyper plastic nodule. These are usually benign. In the absence of prior studies, this usually is followed up to show it's stable nature. If it changes or grows it would need a biopsy. Nonetheless would suggest an in depth discussion with your doctor ...Read more

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Presence of hypoechoic area in hyperechoic thyroid nodule. What it indicates? Nodule has increased vascularity

Uncertain: There are various characteristics of thyroid nodules on ultrasound, including hyperechoic, hypoechoic, isoechoic, cystic, complex, vascular, calcified, microcalcifications. Unfortunately, none of them can tell you for sure whether the nodule is benign or malignant. In your age group, we would be recommending biopsy of the nodule if it is 1 cm in size or larger. ...Read more

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What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

Inflammation: A hypoechoic nodule could compress normal tissue and vessels. Inflammation around nodule might also increase flow. ...Read more

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I have a thyroid nodule. A scan revealed that it is solid with irregular borders, and I have increased vascularity, what does this mean?

I have a thyroid nodule. A scan revealed that it is solid with irregular borders, and I have increased vascularity, what does this mean?

Needs FNA: This could mean malignancy, but not always. You should have a fine needle aspiration - a minor procedure done under local anesthesia. This will usually sort things out and determine if surgery is required. ...Read more

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I have thyroid nodule for 20 years and grown from 2.7cm to 3.2cm in 4 yrs - now has scattered echogenic foci-calcify and increase vascularity-is canc?

Thyroid nodule: I would recommend you see an endocrinologist to determine if the nodule should undergo a needle aspiration biopsy. This can help determine if the nodule is benign or cancerous after which appropriate treatment can be undertaken. ...Read more

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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?

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

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Dr. Suzanne Galli
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


Dr. Eric Whitman
342 Doctors shared insights

Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more