Doctor insights on:
What Is A Exophytic Thyroid Nodule
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
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
No: The majority of lumps in the thyroid when noted to be multiple on scan represent the condition "multinodular goiter" These are almost always benign. When a solitary lesion is present that is "cold" on isotope scan, this is suspicious for possible malignancy and should always be removed. Bx has a certain degree of error especially if a follicular lesion looking benign has invaded capsule. ...Read more
Evaluation: A growing nodule should undergo a fine needle aspiration under ultrasound. If positive for cancer, then proceed to surgery. If negative, it should be followed serially with ultrasound to track for changes. If no changes on subsequent ultrasounds and it's not causing breathing or swallowing problem, you might not need to do anything. ...Read more
Yes, it can shrink. Most solid nodules are adenomas and are benign. If it shrinks that is a good sign...It is. Likely benign.
It is the ones that get larger or are large when they are first found that need closer assessment. In this case a biopsy may be needed to assess more closely.
Btw thyroid nodules are pretty common. ...Read more
Most Are Benign: Doctors' don't "treat" thyroid nodules unless there is concern for cancer or they get big enough that they cause problems. Solitary nodules are more concerning for cancer than thyroids with multiple nodules in them. If there is a concern for ca they are biopsied. If worrisome, the half portion of the thyroid with the nodule is removed, not just the nodule. See my comment below for more. ...Read more
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