Top
30
Doctor insights on: What Is Thyroid Nodule Punctate Microcalcification

Share
1

1
I have stable, dominant 10 mm left thyroid nodule with possible internal microcalcifications. What does it mean? Do I need thyroid scan?

Thyroidologist: Usually, in women especially multiple thyroid nodules are all benign. However, that being said, if there's any doubt a needle biopsy is the diagnostic procedure of choice. I feel that an endocrinologist or preferably a thyroidologist is best qualified to evaluate, treat and follow you. Thyroid scans or ultrasounds alone don't usually settle the problem in my experience. ...Read more

Microcalcifications (Definition)

Are tiny calcium deposits that can occur in various parts of the body, such as the breast and thyroid gland. There are a variety of causes, most benign, but certain cancers can also produce them. Generally, the shape and distribution determine the level of suspicion. Typically benign looking microcalcs can usually be ignored, and more suspicious microcalcs likely ...Read more


2

2
What are the chances a 4mm thyroid nodule with microcalcifications present is malignant? What are the cure and survival rates for a 29 y. O. Male?

What are the chances a 4mm thyroid nodule with microcalcifications present is malignant? What are the cure and survival rates for a 29 y. O. Male?

As above: Obviously u r concerned, to reduce u anxiety ask u treating physician, that way in the future u can get used to ask any question u may have. ...Read more

4

4
What causes microcalcification in thyroid nodule?

What causes microcalcification in thyroid nodule?

Hmm: Microcalcifications in a thyroid nodule are from small calcium deposits in the cells. Thyroid cancer can be associated with this finding, however, benign nodules can also have them. A nodule with microcalcifications should have a fine needle aspiration to help diagnose which it is. ...Read more

5

5
What does microcalcification in thyroid nodule mean?

Usually biopsy: Fine microcalfications in a solid nodule can be seen in certain thyroid cancers (papillary most commonly). Ultrasound guided fine needle biopsy is often performed in this setting. ...Read more

6

6
Are thyroid nodules with microcalcifications always cancerous?

Are thyroid nodules with microcalcifications always cancerous?

No: Thyroid nodules with calcifications need to be fully evaluated, but just because they have calcifications, doesn't mean that they are cancerous. Don't delay, get evaluated. ...Read more

7

7
Percentage of thyroid nodules with microcalcification who had radiation as child that is malignant?

Percentage of thyroid nodules with microcalcification who had radiation as child that is malignant?

Biopsy: Thyroid nodules with microcalcifications are considered suspicious and therefore fine needle aspirations should be considered for definitive diagnosis. If fna fails to make the diagnosis, surgical excision may be considered. ...Read more

9

9
How often are thyroid nodule microcalcifications cancerous? Can capsule be ruptured during biopsy?

How often are thyroid nodule microcalcifications cancerous? Can capsule be ruptured during biopsy?

Common. No: Depending on the exact type of microcalcification, there is a significant rate of cancer. So nodules with microcalcs should be biopsied. There is minimal risk to doing thyroid fine needle aspiration/biopsy. No issues with rupture of the capsule, spread of cancer, etc. ...Read more

10

10
I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

I have a 4.4cmx3.5cmx1.1cm solid thyroid nodule. The report read "Microcalcifications" and "Hypervascular". What is the likelihood that it is cancer?

Needs Biopsy: Thyroid nodule with microcalcification&hypervascularity have a likelihood of being Cancerous in about approx 5.3 % of cases according to literature. Ask your endocrinologist for Biopsy
We really need other teatures like irregular or regular border, Pattern of calcifications like few few or snowstorm parttern, minimal or high internal flow
These are other features taken into account to prediction ...Read more

11

11
I was diagnose with 5x5 mm isoechioc solid thyroid nodule without evidence of, microcalcifications no masses, no lymphadenopathy visualized what dis?

Observation: It sounds like you were found to have a small thyroid nodule of 5 mm. These are common in the population, usually benign. Typically they are followed with repeat ultrasound in 6-12 months to see if it changes. You should have thyroid function tests done as well. ...Read more

13

13
3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...Read more

14

14
Thyroid nodules -should patient know? Us features microcalcifications, shape, hypoechogenicity, type III color power doppler do doctors look carefully?

Thyroid nodules -should patient know? Us features microcalcifications, shape, hypoechogenicity, type III color power doppler do doctors look carefully?

Thyroid nodules: Many people have thyroid nodules. Most are benign. There are many features that a radiologist will look for in thyroid nodules to help determine if further evaluation is needed. The most important features are calcification, taller than wide nodules and irregular microlobulations. If need be a fna or core biopsy can be preformed. ...Read more

15

15
1.3cm thyroid nodule with multiple punctate calcification, ear pain, lump feeling in throat, cancer chance?

1.3cm thyroid nodule with multiple punctate calcification, ear pain, lump feeling in throat, cancer chance?

Possible: I don't love giving scary news in this type of forum but anytime I see a nodule with microcalcification I get concerned about cancer. It should definitely be biopsied. Lump feeling is probably unrelated. ...Read more

16

16
How fast do thyroid nodules grow?

Variable: Thyroid nodules are variable in their growth patterns. Some can grow quickly in size, particularly if there is a cystic component to the nodule. Your doctor will usually suggest an ultrasound to follow the growth of the nodule every 6 months to one year, depending on the level of suspicion. ...Read more

17

17
How can I get lid of thyroid nodules?

Hmm: Other than surgery (which I am not necessarily recommending), generally speaking thyroid nodules do not go away. You should have an ultrasound and possibly a needle aspiration. An endocrinologist or head and neck surgeon would be able to help get you worked up. ...Read more

18

18
Can medication shrink thyroid nodules?

Can medication shrink thyroid nodules?

Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read more

19

19
Does medication actually shrink thyroid nodules?

No: There is radioactive therapy for nodules that are hyperactive and secrete hormone or those that are cancerous. Most thyroid nodules are not of these types, and there is no need to shrink them. ...Read more

20

20
Do any thyroid nodules increase thyroid production?

Yes: Some of the nodules could be hyperactive and cause hyperthyroidism (increase production of thyroid hormones). ...Read more

21

21
I have two thyroid nodules, is it ok to just wait and watch?

I have two thyroid nodules, is it ok to just wait and watch?

May need biopsy: The management of thyroid nodules depends on a number of factors. How big are they? What do they look like on ultrasound? Are they "hot" (take up radioiodine) or cold? Are they part of a multinodular goiter or hashimotos thyroiditis? The risk of a nodule being cancer is usually low, but big, solitary nodules are more worrisome. A biopsy is an easy procedure by someone trained in this. ...Read more

22

22
What should I anticipate as standard approach in treating thyroid nodules?

What should I anticipate as standard approach in treating thyroid nodules?

Several steps: 1) history and physical exam by doctor, 2) blood test to assess thyroid function. If hyperthyroid: needs treatment and usually a nuclear scan. 3) if thyroid function is normal or depressed usually a thyroid ultrasound is done 4) if nodule is solid or suspicious then fine needle aspiration. 5) if benign: follow-up - if malignant (or suggestive) refer to qualified surgeon. ...Read more

23

23
What caued thyroid nodules? Thyroid is normal size and functions normally...

What caued thyroid nodules? Thyroid is normal size and functions normally...

Very common problem: Thyroid nodules are very common. We do not know why they appear. They normally do not cause functional changes in the thyroid. Once they are found, thyroid labs are done and ultrasound is used to evaluate. Those over 1 cm often get biopsied with fine needle aspiration biopsy. Luckily, about 95% of nodules are benign. ...Read more

24

24
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

25

25
Could thyroid nodules grow again after rai?

Yes: Radio iodine is a labeled form of iodine that localizes in thyroid tissue. If the dose of radiation delivered partially shrinks the nodule there is still functioning thyroid tissue which can be further treated. ...Read more

26

26
What is a circumscribed thyroid nodule exactly?

It depends: Circumscribed, on an ultrasound report, describes how distinct the border is between the nodule and the normal thyroid tissue. It would usually be preceded by "well" for nodules with sharp outlines, or "poorly" for nodules with blurred outlines. ...Read more

27

27
What is the cause of this benign thyroid nodule?

Several things: It could be a colloid cyst - an accumulation of thyroid hormone. It could be a benign adenoma - an area of thyroid gland that is growing slightly differently/faster than the rest of the gland.

Most physicians follow benign thyroid nodules to see if they are growing or changing, which may necessitate another biopsy. ...Read more

28

28
Can medication shrink cancerous thyroid nodules?

Can medication shrink cancerous thyroid nodules?

Yes: Some medications can do that but surgery is typically recommended first to take them out. ...Read more

29

29
What is the mechanism by which thyroid nodules might go away?

What is the mechanism by which thyroid nodules might go away?

They usually don't: There is radioactive therapy for nodules that are hyperactive and secrete hormone or those that are cancerous. Most thyroid nodules are not of these types, and there is no need to shrink them, nor do they usually go away. ...Read more

30

30
Are all thyroid nodules cancerous? Can you share some sources?

Are all thyroid nodules cancerous? Can you share some sources?

No: Not all thyroid nodules are cancerous. Depending on the evaluation which includes lab testing and radiologic tests, thyroid nodules can be determined fairly accurately as to whether they are cancerous or not cancerous. However, it is possible that surgery might be required in order to fully assess the nature of a thyroid nodule. Please see your doctor for the proper evaluation. ...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


Dr. Adam Lewis
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