Doctor insights on:
Why Do Thyroid Nodules Grow Fast
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
If they just found a 1.1 CM solid thyroid nodule how fast should I get it biopsy will this starts to grow very quickly?
Depends: You can get a fine needle aspiration, which is relatively non-invasive to obtain a diagnosis. Getting the advice of your clinician on this matter because he/she knows your clinical situation is recommended. ...Read more
Variables: Radioactive Iodine treatment for hyperthyroidism tends to have a much higher success rate than medications. Depending on the dose of radioactive iodine chosen, and the disease under treatment (Grave's vs toxic goitre, vs hot nodule etc), success rate in achieving definitive resolution of the hyperthyroidism may vary from 75-100%. A major expected side effect of radioactive iodine in hypothyroidism ...Read more
Possible: Many people will form multiple nodules. If you already have had one you certainly can form another. ...Read more
Vascular: Thyroid nodules can be very vascular and may not have a firm supporting structure so vessels in the nodule can break causing bleeding into it. Sometimes it can lose the blood supply in the center and become necrotic and then hemorrhage. Rarely there can be a viral thyroid infection causing swelling and pain. ...Read more
Do solid benign thyroid nodules grow quickly? And could you have normal TSH levels with a solid benign nodule on the thyroid?
Nodules: Growth of thyroid nodules may represent malignancy. The only way to really know is to perform fna biopsy. Many patients with solid thyroid nodules will have normal tsh. Thyroid scans are generally no longer thought to be useful in distinguishing between benign and malignant nodules. Rai thyroid scans should be ordered in patients with suspected hyperthyroidism, not routinely for all patients. ...Read more
.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain
Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. 0.2mm growth in 11/2 years is slow growth. Most malignant tumors grow faster. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. You are correct in getting follow up US exams. Hyperechoic lesions are denser sometimes with calcium. ...Read more
Does a single solid thyroid nodule grow rapidly if it is benign? The nodule is not a goiter. Tsh levels are normal.
Besides genetics, what determines the chance of a solid thyroid nodule being cancerous? I have a solid nodule that has grown fast and normal TSH level
Cancer risk: Risk of cancer is higher in patients < 20 and > 70, and in males. Concern for cancer higher if fixed (non-mobile), fast growing, lymph nodes in the neck, firm/hard, history of neck radiation, problems swallowing/talking/breathing. A TSH that is normal is actually more concerning as well. Typically if > 1cm and normal tsh, biopsy is performed. Especially if any other risk factors present. ...Read more
Part of the gland: They will move upward with the rest of the gland when you swallow, and you can move them just as you can move your larynx and trachea once you know your way around your neck. Your physician can help you make the distinction from a lymph node or other mass. ...Read more
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
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
Luck of the draw: Some thyroid nodules are the result of radiation exposure (like chernobyl}. Many people form colloid cysts which are incidental and of no significance. Some may have a family history for a tendency of thyroid tumors. Whatever the cause, they need to be properly evaluated. ...Read more
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