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Doctor insights on: What Is Considered A Large Thyroid Nodule

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If a thyroid nodule is large can it cause problems?

If a thyroid nodule is large can it cause problems?

Yes: A large nodule can compress and deviate arteries/trachea causing breathing or swallowing problems. ...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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Finding thyroid expert ? Reading tells me large percentage of thyroid/nodules removed are benign. Medical papers refer to finding needle in haystack.

Finding thyroid expert ? Reading tells me large percentage of thyroid/nodules removed are benign. Medical papers refer to finding needle in haystack.

Cancer < 5%: Thyroid nodules are very common, especially as we get older. You are correct, most thyroid nodules removed are benign. There is a small risk of cancer in most nodules, but the risk goes up with significant medically history, like family history of thyroid cancer or history of neck radiation. ...Read more

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I have bilateral partially cystic thyroid nodules.Biopsy done of the larger one, came back "follicular lesion of unknown origin" what does that mean?

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: Follicularā€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

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Repeated thyroid nodule biopsy cold solid 3x7cm. How could he not get enough cells with such a large nodule? Also 2.4cm cold follicularGenetic testing

Possible: May be if nodule has fluid ( Cyst ) may not get cells ( how many times was done ? more than twice is unusual ) . If strongly suspicious for malignancy an image guided core needle biopsy , or even removal ( surgery ) Discuss with your doctor , plan of treatment Do not ignore if necessary take second opinion . ...Read more

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Can a large thyroid nodule cause dizzy spells?

Can a large thyroid nodule cause dizzy spells?

Unlikely if only one: It can cause dizziness only if it compresses the blood vessels around your neck and since you only have one large nodule, it is unlikely to cause compression of blood vessels on both side of your neck. ...Read more

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How large does a thyroid nodule have to be for doctors to decide to operate. The thyroid blood tests came out negative. My thyroid is normal in size but I have a 2.2 x0.76x.99cm nodule on the right lobe and a .48 nodule on left. Will the dr. Decide to ope

How large does a thyroid nodule have to be for doctors to decide to operate. The thyroid blood tests came out negative. My thyroid is normal in size but I have a 2.2 x0.76x.99cm nodule on the right lobe and a .48 nodule on left. Will the dr. Decide to ope

Yes, biopsy: If the report didn't say that this is a cyst, then you should get a fine needle biopsy. If negative, it can be followed with serial ultrasound as long as it is not causing problem swallowing or breathing now. If the mass grows on subsequent ultrasound, you can then re biopsy or just proceed with surgery. In any case, keep close eye on the mass, at least once/year with an ultrasound. ...Read more

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Feel poorly, tired, keep swallowing, depressed, ache like I have a temperature ( but don't) large thyroid nodule, blood test and biopsy normal?

Feel poorly, tired, keep swallowing, depressed, ache like I have a temperature ( but don't) large thyroid nodule, blood test and biopsy normal?

Discuss with doctor: You seem to know the issue responsible for the symptoms, depression. Please consult with your doctor for therapy and medication. It will be hard to get started, but doing 30 minutes of as vigorous exercise, as you can tolerate, each day will do you a world of good. ...Read more

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How large do thyroid nodules look on ultrasound in order to raise suspicion for cancer? Does size matter?

How large do thyroid nodules look on ultrasound in order to raise suspicion for cancer? Does size matter?

Size matters: Size does matter. Thyroid nodules of less than 1 cm are usually insignificant. Among nodules of >1 cm, the likelihood of cancer increases with size, but even bigger nodules (3-4 cm) are usually benign. Best approach: US and fine needle aspiration should be done by someone experienced in interpretation, usually an Endocrinologist. If surgery needed, find an experienced thyroid surgeon. ...Read more

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Multiple thyroid nodules some are very large & others are attached to my vocal cords. Hard to swallow , swollen neck & painful, took raditn pill. 3 yrs ago. Help?

Multiple thyroid nodules some are very large & others are attached to my vocal cords. Hard to swallow , swollen neck & painful, took raditn pill. 3 yrs ago. Help?

See endocrinologist: You did not mention if you had an overactive thyroid 3 years ago when given radioactive iodine. I assume your thyroid levels are normal now. If you still have large thyroid nodules, and symptoms related to it, you may need surgery to effectively deal with the problem. It is best to see an endocrinologist for a complete evaluation of your thyroid. ...Read more

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Is a solid thyroid nodule considered hot or cold? I have a solid nodule but did not specify if it was hot or cold

Is a solid thyroid nodule considered hot or cold? I have a solid nodule but did not specify if it was hot or cold

Thyroid scan: You can't tell if a nodule is hot or cold for sure on a thyroid ultrasound. A test called thyroid uptake and scan is what's needed to determine if a nodule is hot or cold. ...Read more

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Can thyroid nodules shrink?

Yes.: Most thyroid nodules remain stable over many years. Some can increase in size and some can decrease. It depends on the composition of the nodule. ...Read more

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What can thyroid nodules mean?

What can thyroid nodules mean?

Depends: Thyroid nodules are very common in the population, especially in women. Most are benign. Biopsy is indicated if they are larger than 1 cm in size and mostly solid. Thyroid function should also be assessed. ...Read more

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Do thyroid nodules need to be removed?

Do thyroid nodules need to be removed?

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

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Are multiple thyroid nodules dangerous?

Are multiple thyroid nodules dangerous?

Not necessarily: The main risk from multiple thyroid nodules is that it can be impossible to adequately biopsy all the nodules, as is possible with fewer or solitary nodules. This could make it harder to diagnose the nature of a given nodule, . ...Read more

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Do thyroid nodules shrink on their own?

Very unlikely: Thyroid nodules either stay the same or grow. I have never seen one shrink on its own. ...Read more

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What is the definition or description of: thyroid nodules?

Masses in thyroid: Thyroid nodules are masses in the thyroid that vary in size and should be evaluated by your endocrinologist. ...Read more

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Medicine for thyroid nodule?

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

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How is a thyroid nodule treated?

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

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Are cold thyroid nodules cancerous?

Are cold thyroid nodules cancerous?

Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read more

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How can you shrink a thyroid nodule?

Depends on the cause: If a nodule is due to hashimoto's thyroiditis (inflammation caused by autoimmunity, where one's own immune system attacks one's proteins and tissues), then taking thyroid hormone pills can shrink it. If it's a tumor that's over-producing thyroid hormone, radioactive iodine can kill it, and make it smaller). Fluid-filled cysts can be drained with a needle, but may grow back. Cancer needs surgery. ...Read more

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Is kelp harmful for thyroid nodules?

No: Kelp is not harmful for anyone unless they are allergic to it or it is taken in excessive amounts. ...Read more

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What does a thyroid nodule look like?

What does a thyroid nodule look like?

It depends: Thyroid nodules can be filled with fluid, solid tissue or calcified. Depending on how you look at them, ct, mri, us, they can have varying appearances. ...Read more

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What to do if I have a thyroid nodule?

See your doctor: If you have a thyroid nodule, you need the proper evaluation with a history, physical exam, and proper testing. It may be something that can be treated medically. It might even need surgery. Please see your doctor as soon as possible. ...Read more

Dr. Sewa Legha
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
343 doctors shared insights

Thyroid Nodules (Definition)

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