Doctor insights on:
What Cystic Means On Thyroid Nodule
I have bilateral partially cystic thyroid nodules. Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?
Variable meaning: Follicular‐patterned lesions of the thyroid are common; these include hyperplastic/adenomatoid nodules, follicular adenoma, follicular carcinoma and follicular variants of papillary carcinoma. Repeat biopsy with a sample sent for a genetic afirma assay may give additional useful information. In addition, discuss with your endocrinologist. ...Read more
I just had fna done on 1 of 3 thyroid nodules and report say 3cm heterogeneous soild nodule w/small cystic components, what does this mean?
What does this diagnosis mean, Left thyroid: cystic lesion with hemosiderin-laden macrophages. Its my cytology report from a thyroid nodule.
Probable benign: Most cystic lesions and not pure cysts usually respresent breakdown and hemmorhage into a benign neoplsm. The presence of macrophages and hemosiderin suggest some form of inflammatory condition such as Hashimoto's thryoiditis. Unless there are changes on physical and thyroid scan suggesting further growth, conservtive management is suggested. ...Read more
I have a tyroid nodule, 1.6 x. 9 x 3 cm. Heterogeneously attenuating predominantly cystic right thyroid nodule. What's it mean and could it be cancer?
Thyroid: Its highly unlikely to be cancer. The odds favor this being a thyroglossal duct cyst. Pts often present at you age. You don't say where exactly your mass is. TDC is usually near midline. Another possibility is a branchial cleft cyst which is also a congenital problem. Your docs may want to do a CT guided fine needle biopsy. Hang in there. I think you will be fine. ...Read more
Unlikely but ask doc: Most of the the thyroid nodules are benign, cystic nodules are even more benign, but sometimes a small focus of cancer could be inside the cyst, to be sure most of the time after fine needle aspiration (fna) will be done by your doctor send for biopsy (cytology) to be sure it is benign.. ...Read more
What is a innocuous and isoechoic thyroid nodule. Also what is a heterogenous nodule with tiny cystic spaces, it measures 0.7cm?
Hard to say: It's hard to say without seeing the actual images. An isoechoic nodule is typically nonspecific and potentially falls in the indeterminate range (ie need follow up or biopsy). Same thing for a heterogenous "nodule" with tiny cystic spaces. A "complex cyst" with tiny cystic spaces can be a sponge like cyst that is typically benign. ...Read more
.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain
Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. 0.2mm growth in 11/2 years is slow growth. Most malignant tumors grow faster. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. You are correct in getting follow up US exams. Hyperechoic lesions are denser sometimes with calcium. ...Read more
Hello I recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?
Biopsy: Hi. Assuming your thyroid function is normal (not hyperthyroid), the thyroid nodule you describe needs fine needle aspiration biopsy for cytology (and hopefully genetic testing) to see if it's cancer. If it's not cancer, you can leave it in and just follow it, and thus avoid surgery for a non-cancerous tumor. I have to assume that whoever ordered the ultrasound has told you that you need FNAB. ...Read more
Thyroid nodules on CT. US found 10+ nodules, 2 largest about 2.5 cm and are "mixed cystic and solid". Dx benign multinodular goiter. Followup needed?
Watch it yourself: Get acquainted with how your gland feels. If one of the nodules starts getting appreciably bigger while the rest stay the same, get seen. This may happen but isn't likely. Best wishes. ...Read more
Seen Endocrinologist have one. 5cm partly cystic and party soild thyroid nodules no blood flow, went to recheck in 6 months what's next?
Thyroid nodules: TN are very common and largely benign. You benefit from monitoring, if they grow they will be further evaluated or removed before something ominous happens. Your thyroid blood levels will be checked, you may need thyroid replacement. Mostly, thyroid nodules are low risk health issue. Be well. ...Read more
Very common...: And most patients have them by the time they are elderly. The vast majority are benign. Please see your physician to review/obtain blood work, physical examination and any necessary imaging. Some nodules need to be biopsied to determine if it is benign. Your physician can work out an appropriate plan to manage your thyroid nodule. ...Read more
It means irregular: Heterogeneous is the opposite of homogenous. Any thyroid nodule which is irregular and over 1cm in size needs to be investigated further. This may need a biopsy especially if it is growing or has increased in size over a period of 3 months. You should have your doctor guide you or send you to an endocrinologist. For a second opinion and further advice. ...Read more
Decreased echoes: Ultrasound exam of thyroid gland can show nodules of decreased echogenicity (hypo dense or hypo echoic)), increased echogenicity (hyper dense or hyper echoic) or mixed with areas of both imaging qualities. Hypodense has usually more consistency of fluid like cyst and hyper dense more like solid tumor. ...Read more
My husband has been diagnosed with thyroid nodules which are solid and have micro calcifications. What does this mean?
Needs a biopsy: The most common form of thyroid cancer (papillary) has certain features on us that let us know if a nodule is worrisome. Microcalcifications is one of them. He should have a biopsy. Although thyroid ca is generally curable, it is a bit more serious in males than females and thus this should be followed up with a u/s guided - needle biopsy by an experienced physician. ...Read more
What does it mean if there is 2 thyroid nodules in a child (12)? Is it most likely cancer? Or is it less likely cancer?
Less likely...: But answer depends on over all personal, family hx. ...Read more
Multiple thyroid nodules. Biobsy result 'sample bloody'. Wat does that mean? Should it be repeated?
Depends on size: If you have multiple small nodules less than 1 cm, it is often difficult to get adequate specimen, and it is more than likely that the pathologist will see only blood. Depending on the size and nature of your nodules, you may want to have a 6 month follow-up ultrasound or have a repeat if the nodule is large. ...Read more
I have several thyroid nodules and had the smallest biopsied. It is benign. Does that mean all the others are too?
Nodules: Not really - they should have biopsied a few more for completeness and we would all be satisfied. ...Read more
Depends: It all depends on the size and if it is new. There is a need to do needle aspiration if not sure ...Read more
In order: To determine whether the nodule is taller than wide, you need to specify the orientation of those measurements: Anterior-posterior (AP), transverese (T), and longitudinal. If the AP/T ratio is greater than 1, the nodule is taller than wide. An A/P >1 does not necessarily mean cancer, but along with other features, may indicate the need for FNA biopsy. ...Read more
Thyroid nodule came back negative but cells are suspicious for hurthle cell neoplasm. What does that mean?
Surgical biopsy: Hi. Going just on what you've told us, you probably need a surgical biopsy. A Hurthle cell neoplasm can be either benign or cancer, and the cytopathology often cannot make the distinction. Therefore, to exclude or confirm cancer will require a surgical biopsy. But I don't have the data. Your doc will tell you what's needed. Good luck! ...Read more
It depends: It depends upon the pattern of the calcification. "eggshell" calcification, where there is a thin calcific rim around the the nodule is not associated with an increased risk of cancer, while "microcalcifications" inside the nodule are associated with a much higher risk of cancer, 50-100%, compared to 5% for nodules in general. ...Read more
Needle biopsy: Nodules of that size can be biopsied using a technique called fine needle aspiration. The skin over the nodule is numbed with a local anesthetic. Then, usually with ultrasound guidance, a needle is passed through the skin into the nodule. A small sample is taken and then analyzed under a microscope. ...Read more
- Talk to a doctor online
- Complex cystic nodule thyroid
- What is a complex cystic right midpole thyroid nodule mean?
- Mixed cystic and solid thyroid nodule
- Complex solid and cystic thyroid nodule
- Adenomatoid nodule with cystic changes on thyroid
- Heterogeneous thyroid gland without discrete nodule means
- What does it means by diffuse thyromegaly with coarsened parenchyma with solid nodule in the junction of right lobe isthmus on my thyroid?
- Complex cystic thyroid nodule with blood flow
- Cystic regions in thyroid nodule