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Doctor insights on: What Does Increased Vascularity In Thyroid Mean

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Dr. M. Hytham Beck
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


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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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Bilateral thyroid lobes are enlarged and show diffuse heterogeneous echotexture with increased vascularity. What does that mean?

Bilateral thyroid lobes are enlarged and show diffuse heterogeneous echotexture with increased vascularity.  What does that mean?

Thyroid: What have your doctors said about this. There are many options that include surgery or doing nothing. You can rely on your doctors for your management.

If your thyroid levels are OK and your thyroid gland is not very enlarged it would be OK to have nothing done aside from regular examination. ...Read more

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What does predominantly solid isoechoic mass with sites of cyst and increased vascularity measuring 5.5 x4.5x3.6 in thyroid mean?

What does predominantly solid isoechoic mass with sites of cyst and increased vascularity measuring 5.5 x4.5x3.6 in thyroid mean?

Mm?: Hi. I hate to assume, but I assume this is a small nodule 5.5x4.5x3.6 mm? (not cm? That would be a BIG nodule). A nodule that small (in mm) would be too small to do a fine needle aspiration biopsy on. Are your TSH and free T4 normal? If so, I would say do another thyroid ultrasound in a year or so to see if it's growing. ...Read more

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US shows Multinodular thyroid (.6 cm, .4 cm)goiter but predominate solid nodule is 3.2cm has new calcific and increased vascularity what does this mean?

Needs further workup: Any nodule over 1cm should undergo at the very minimum a fine needle aspiration biopsy. A recommendation may also be made to bypass the needle biopsy and proceed to thyroidectomy given the new calcifications which place the nodule in a higher risk category. Discuss these and other options with your primary care physician and/or specialist. ...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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What does the following mean: Heterogeneous nodular of the thyroid gland with increased vascularity. As well as low T4 and TSH levels?

What does the following mean: Heterogeneous nodular of the thyroid gland with increased vascularity. As well as low T4 and TSH levels?

Plan: You have to discuss all this result with doctor, who knows your history, symptoms and all medical problems. Most likely you need the treatment for thyroid dysfunction, what depend heavily on numbers in blood work. ...Read more

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Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity — what does this mean?

Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity — what does this mean?

Consistency: A lot depends on what has happened to this nodule over the last 20 yr. Any growth? Is the calcification new? The best scenario is where the US and FNA are all being done by the same person; sometimes the "reports" say different things when it is really not changed. Often the best person is an Endocrinologist who does this, rather than a radiologist who is not a thyroid specialist. ...Read more

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What does "increase vascularity thyroid" mean?

What does "increase vascularity thyroid" mean?

Increased blood flow: Is the general implication. If diffuse it could be due to active gland such as in hyperthyroidism. If present in one localized area could represent an active tumor. ...Read more

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Does it always mean cancer when you have a very vascular thyroid on a US?

Does it always mean cancer when you have a very vascular thyroid on a US?

No: A cancer more likely to express as a nodule, rather than a diffuse change in the gland. Consult this site for more information on this topic.
http://www.mayoclinic.org/diseases-conditions/thyroid-cancer/basics/symptoms/CON-20043551
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

Dr. John Yim Dr. Yim
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What does 'with vascularity' mean pertaining to thyroid cancer?

Dr. John Yim Dr. Yim
1 doctor agreed:
What does 'with vascularity' mean pertaining to thyroid cancer?

It depends.: If the study is referring to a thyroid nodule this can be somewhat more suspicious for thyroid cancer, but a biopsy always has to be done to see whether it is it not. If you already have thyroid cancer and have been treated and there is a lesion in the thyroid bed or elsewhere this is suspicious for recurrence, but once again frequently a biopsy is needed to confirm. ...Read more

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Does mild intrinsic vascularity mean anything on a solid micro follicular thyroid lesion which is circumscribed and heterogeneous?

Does mild intrinsic vascularity mean anything on a solid micro follicular thyroid lesion which is circumscribed and heterogeneous?

Possibly: I want to clarify your description. You wrote a micro follicular lesion. This is an older pathology dx. Was this biopsied or is this a micronodule (<1 cm). Well circumscribed is good. Heterogeneous nod need to know the character of the solid part. After the other info, increased blood flow is a risk factor cancer (but now considered a minor factor). Thyroid func is key here. W/more info FNA or not ...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 4.2cm solid mass left thyroid homogeneous echotexture increased echogenicity and increased vascularity by us coold this be malignant?

I have a 4.2cm solid mass left thyroid homogeneous echotexture increased echogenicity and increased vascularity by us coold this be malignant?

Yes, but unlikely: Most thyroid nodules are benign. However, if this truly grew from 3.3 to 4.2 cm over the course of 1 month, that would raise the suspicion of thyroid cancer considerably. You clearly need to have a fine needle biopsy of this nodule performed. ...Read more

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Diffusely heterogeneous thyroid gland with multiple bilateral hypo echoic micro nodules. Increased vascularity. What does this ultra sound result mea?

Thyroidologist: A thyroidologist or endocrinologist is best qualified to evaluate and advise you about your thyroid status and ultrasound findings and to determine whether a needle biopsy and/or referral to a thyroid surgeon is advisable. As a rule multiple nodules are more apt to be benign as opposed to a single cold nodule in males. Follow-up in these cases are also important even after the first consultation. ...Read more

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Thyroid gland demostrates mild heterogeneous echogenicity & echotexture. Increased vascularity, in keeping with thyroiditis. Pls explain. Thanks.?

Thyroid gland demostrates mild heterogeneous echogenicity & echotexture. Increased vascularity, in keeping with thyroiditis. Pls explain. Thanks.?

Hashimoto's disease?: Common cause of ultrasound pattern with hyperemia is Hashimoto's thyroiditis. Can initially be hyperthyroid and eventually becomes hypothyroid. Usually an autoimmune disease with thyroid antibodies, When hypothyroid usually have to have thyroid hormone suppliments. ...Read more

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What does 'Heterogeneous thyroid glands bilaterally with diffusely increase vascularity' mean? And also what is a 'hypertrophied parathyroid gland'?

What does 'Heterogeneous thyroid glands bilaterally with diffusely increase vascularity' mean? And also what is a 'hypertrophied parathyroid gland'?

Endocrinologist: It means that there is abnormal enlargement of the thyroid gland, which has three zones, symmetrically. An enlargement of a parathyroid gland is called hyperplasia. These findings are abnormal and are considered a multiglandular problem which requires the evaluation and treatment advice from an endocrinologist. ...Read more

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Thyroid gland is increased in vascularity suggestive of underlying thyroiditis..... Tsh is normal?

Thyroid gland is increased in vascularity suggestive of underlying thyroiditis.....
Tsh is normal?

Happens regularly: This picture is encountered relatively often. Think of it as if the thyroid is inflamed but still has enough reserve to produce adequate hormone. It can be seen in conditions like subclinical thyroiditis or in hashimoto's disease, after the thyroid is "burnt out" and doesn't produce elevated hormone, but before the hormone levels become low. See an endocrinologist for more information. ...Read more

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FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC How accurate is this test?

FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC How accurate is this test?

Accurate if negative: It now appears that Afirma test result is clinically useful if it comes back as negative. I believe that the test may be associated with a higher false-positive results than false-negative results. Please check with your endocrinologist for an update. ...Read more

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Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. What does all this mean? FNA recommended.

Means abnormal test: Ultrasound is a commonly used test for detection of Throid nodules which are quite common. So when the ultrasound shows a Thyroid nodule, it needs to be monitored and often a Biopsy is required to find out if the nodule is benign or cancerous. FNA is one such technique for obtaining a biopsy for making a diagnosis. ...Read more

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Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Is it poss. Cancer? Us results thyroid nodule: solid, heterogeneous & isoechoic nodule w/in the mid to lower right lobe, 4.2cm, increas. Vascularity

Yes it's possible : Any thyroid nodule over 4 cm needs to be removed surgically to make sure not cancerous per ata guidelines. I would still get a fna first before going to surgery but needs to be removed. More info on my website on thyroid nodules at www.Cvsurgicalgroup. Com. ...Read more

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3cm hyperechoic thyroid nodule with increased vascularity, normal TSH fnac- follicular cell with hyperplastic area. What it indicates?

Uncertain: The fna can only help if it shows cancer. But in your case it is ambiguous, so your doctor should guide you what to do next?... What did he/she suggest as the next step? Most doctors would next recommend either surgical excision or monitor closely for some time and see if it is growing in size in which case it has to be taken out. ...Read more

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I have thyroid nodule measuring 29×20 mm in size usg report indicate a hyperechoic structure with increased vascularity my TSH n antibody normal?

Indeterminate nodule: Hyper-echoic nodule has 5% chance of malignancy and the risk increases with large dominant nodule. 20-30% of all cancers are iso/hyper-echoic.
Since this big nodule will be easy to biopsy — tissue diagnosis may be obtained to exclude malignancy. ...Read more

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I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I

I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims.  How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up.  Two of these growths have grown their own vascular rim, and no one is doing anything.  I

Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read more