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Doctor insights on:
What Is A Heterogeneous Goiter
1
Solid hypoechoic heterogeneous nodule. 2.5cm & 1.5 cm. Multinodular goiter. No dominant nodule wasn't cold or hot what does this mean?
Needle biopsy: It sounds like you've had a thyroid ultrasound and a thyroid uptake scan. Most thyroid nodules are not cancerous, but it's recommended that nodules that look suspicious or larger than a certain size get a needle biopsy. Also called a fine needle aspiration. ...Read more
Thyroid Enlargement (Definition)
Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more
2
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 more
3
How often should a thyroid sonogram be repeated? Sono done 1 year ago showed heterogeneous multinodular goiter.

It depends: Upon a variety of factors, such as clinical changes, palpation by physician, prior ultrasound and lab findings, biopsy findings (if biopsy was done), personal and family history etc. Check w/your physician who should be able to tell you. Brand name T4 replacement is more reliable than your generic. ...Read more
4
Thyroid sono showed heterogeneous gland with multinodular goiter (positive hashimoto's diagnosis;on synthroid)-follow up sono when?

10---15 days: You have autoimmune hypothyroidism and need to to be seen by an endocrinologist, who want to be sure cold or hot nodules and act accordingly and adjust synthroid (thyroxine). ...Read more
5
Sono showed dominant nodule is a heterogeneous nodule. Evidence of hypoechoic on left and right lobes. Multinodular goiter with all nodules over 1cm. Can this be thyroid cancer.

Thyroidologist: Multinodular thyroid nodules are usually benign, but a thyroidologist is best qualified to advise you on whether any of them should be biopsied (needle biopsy).. ...Read more
6
Explain please: "heterogenous micronodular thyroid...suspect multinodular goiter"? Do I need to see a specialist or is my Physician's Assistant good?

Depends: If there are no nodules over one centimeter and your hormone levels are good then no specialist needed. ...Read more
7
My thyroid is underactive. My ultrasound showed diffusely heterogeneous echo pattern, diffusely heterogeneous hypervascular thyroid gland, no thyroid enlargement, no evidence of focal abnormality, no evidence of cyst, mass or calcification. I have been pu

Hashimoto's disease: It sounds like you might have Hashimoto's thyroiditis. Consider a consultation with an endocrinologist. ...Read more
8
Is goiter hereditary?
Goiter: Some goiters are present in several family members and some are not. If you are concerned about getting it yourself because others in the family have been diagnosed with this in the past. Have your PCP check your thyroid (physical exam) and order appropriate lab studies and if it is OK don't worry but get the same labs done annually. ...Read more
9
How is goiter managed?
Variable: Goiter simply means a growth in the thyroid. Three things: 1) what are your thyroid function tests? Hyperthyroidism is managed differently from goiters with normal or low function. 2) usually an ultrasound is done to look for nodules suspicious for cancer - with biopsy if needed, 3) goiters are sometimes removed if they are enlarging significantly or cause swallowing or breathing issues. ...Read more
10
How to control a goiter?
Depends on cause: If it is a diffuse goiter, it may be caused by high tsh, which can arise in hypothyroidism or iodine deficiency (rare in usa, as salt is iodinated) or excessive goitrogens in susceptible ppl (like cauliflower). Treating the hypothyroidism can slow growth, if the above is the cause. If enlarging modules is the cause, surgery. Depends on cause, radioactive iodine may help. ...Read more
11
What exactly is a goiter?
Enlarged thyroid: "goiter" is a term for an enlarged thyroid gland. ...Read more
12
Symptoms of having a goiter?
Goiter: Goiter is referred to enlarged thyroid gland. Visible enlargement may be the only symptom of it. Depending on the nature of the problem, there will be various symptoms present. Benign goiters may have minimal symptoms if small, while malignant or large benign ones may interfere with swallowing and / or breathing to name a few. ...Read more
13
What causes a goiter to grow?
Genetics and diet: Goiters are more common when the diet is poor in iodine. Vegetarians have to be careful because cruciferous vegetables like broccolli sometimes increases the risk of goiter. Goiter can run in the family as well. ...Read more
14
When must a goiter be treated?

If symptomatic: If the levels of thyroid hormone are normal, a goiter only needs to be treated if its size is causing problems by pressing on other structures such as the trachea. ...Read more
15
What is goiter and what is the cure?
Depends: Hi. "Goiter" simply refers to abnormal thyroid size and/or shape. Goiter can be diffuse, lumpy, multinodular, or solitary nodular. Thyroid shape/size abnormalities (goiters) can be associated with hyperthyroidism, hypothyroidism, normal thyroid function, benign tumors, and thyroid cancer. "Cure" of goiter depends on underlying cause. I would recommend you see an endocrinologist. Good luck! ...Read more
16
What makes a person prone to goiter?

IODINE DEFICIENCY AN:
Iodine deficiency
Too much thyroid hormone produced like in Graves Disease
Autoimmune Thyroditis like Hashimoto Disease
Thyroid Cancer causes swelling on one side of thyroid
Most common cause of Goiter all over the world is IODINE DEFICIENCY
...Read more
17
Why is goiter rarely in this country?
Iodized salt: Iodine supplementation, mainly through iodized salt, has eradicated iodine-deficiency, or endemic, goiter in the United States. Furthermore, certain foods (cassava and millet) eaten more commonly in some developing countries contain substances that promote the formation of goiter when iodine intake is marginal. ...Read more
18
What is goiter and what causes it to grow?
Thyroid enlargement: A goiter is an enlarged thyroid. Most cases are not cancer (but a doc needs to examine you and probably do an ultrasound). The most common cause in the usa is living in an area that has soil that is deficient in iodine. Many goiters seem to run in families. At least 5% of all women have some nodules in their thyroid and this goes up to nearly half if screened with ultrasound. ...Read more
19
Is goiter contagious?
No: You cannot "catch" a goiter from others. But there are parts of the world with iodine deficiency, so that many residents will develop goiters. Within families, there may be a predisposition to auto-immunity, so that the immune system makes antibodies that target thyroid proteins, and can cause multiple family members to develop a goiter. ...Read more
21
Is a goiter treatable?
Yes: Treatment will depend on what triggered the goiter.It can vary from simple medication to surgical removal. Discuss with your doc. ...Read more
23
Does a goiter cause headaches?
Unlikely: A goiter usually is not associated with headaches. ...Read more
24
Above my chin that is a goiter?

Anatomy: Above a chin is your mouth. The thyroid is below your chin, where your 'adams apple' is. A goiter is in the thyroid. ...Read more
25
Can u tell me how to treat goiter?

How Rx Goiter?:
Someone of unknown age, gender, ethnicity or medical Hx asksL Can u tell me how to treat goiter?
ANS: Yes, find out cause of your goiter and treat that. Happy to do 2nd opinion to get more information such as age labs, where you live, thyroid tests and help more. Causes differ by geography so cannot really give you good info without more info from you.
...Read more
26
Can goiter come bak after surgery?
Recurrent goiter: Hello, if you have a partial thyroidectomy, then a goiter could occur in the remaining portion of your thyroid. ...Read more
27
Can a goiter shrink without surgery?

Goiter: Yes -- it can and often does. Goiter is usually an inflammatory reaction caused by an autoimmune disorder. This can wax and wane as antibody levels do. Sometimes thyroid hormone replacement can shrink it to a degree but not always. ...Read more
28
When will goiter surgery be necessary?

Size: If the thyroid enlarges enough that it starts to cause swallowing difficulties, speaking difficulties, or breathing difficulties. Usually do not want to wait until the symptoms listed above are severe, or if it is so large that the surgery becomes more difficult. ...Read more
29
How unusual is goiter in a 6 year old?
Unusual: It should be evaluated by your doctor soon. ...Read more
30
Which one is zymotic, goiter or mumps?
Both:
Zymotic is an old term used for conditions that are endemic or epidemic. Goiter is a condition of the thyroid that occurs usually from low iodine and could be endemic to an area. Mumps is a viral infection and while due to immunizations is not frequently found but in the past could become epidemic.
You would have to be more specific for a better answer.
...Read more
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