Not necessarily. Multiple nodules may represent a goiter. If they are 1 cm or larger, have specks of calcium, or otherwise look concerning, should have an fna (fine needle aspiration biopsy) to look at the cells and determine if benign or cancerous. Thryroid function tests are useful too. Occasionally radioiodine scan can help determine if nodules or the gland is overactive.
Not always. Certainly, cancer is less common with multiple nodules, but not unheard of. The endocrinologist can tell you if any of the nodules are suspicious enough to warrant biopsy.
Multinodular Goiter. Multinodular goiters are not normaly cancerous. But these can be toxic which means these ptoduce too much thyroxine or non toxic with normal thyroid hormone levels.
I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule? What could this be?
Multinodular goiter. Would follow up with the endocrinologist. He or she will likely do further testingto see if these nodules are active or not and then decide how to proceed.
Depends. Cancer can be one nodule or all three especially if papillary cancer. If a nodule larger then 10 mm, history of neck radiation, or it has calcification would recommend needle biopsy. Also need blood TSH -if low then iodine scan and if nodule hot then unlikely cancer. If all nodules <10mm, normal or high tsh, and none of the above factors then repeat ultrasound in a year. 90% nodules benign.
May need follow up. The data says that without a dominant mass, nodules less than 2.5 cm are rarely of concern. The thyroid frequently forms nodules, most of which are of no concern. But depending on the size and imaging characteristics, as well as your risk factors, your doctor may need to reassess at later date. If your doctor is not worried, than you should not be either!
My dear colleague; I'm an endocrinologist in Turkey and I do thyroid ultrasound. I'm interested in exophytic thyroid nodules. Until now, I couldn't find the explanation of "exophytic"term for thyroid nodules. Thank you very much for your good explanation.
Protruding. Hello, brother endocrinologist! Exophytic means a nodule protruding from the surface of the thyroid gland. If the exophytic nodule is anterior, it is usually easily palpated on thyroid exam; if posterior, it's seen with ultrasound. With ultrasound, exophytic doesn't matter, since we can see any nodule anywhere in the gland. Isn't endocrinology fun?!
Nodular goitre. With time and exogenous stimulation, nodular goitres develop in contrast to the solitary adenoma that transforms to cancer. On palpation of many goitres a mass, not present within either lobe but essentially hanging from one of the lobes may be identified. This is an exogenous lesion arising subcapsular and bulging in an external or exophytic position.
Thyroid ultrasound shows new mural nodule, calcifications, masses, lesions, and lymphadenopathy. Possible cancer?
Possible cancer. With your description cancer is a possibility but by no means certain. Where is the lymphadenopathy? An imaging study with biopsy is what is needed here. Please have your doctor schedule this. Hope all goes well.
Thyroid ultrasound says I had a 12 mmx6 mmx5mm peripherally vascular nodule in my left lobe that was heterogeneous. Partly solid/cystic. Cancer?
Endocrine surgeon. Best to see an endocrine surgeon who will do fine needle aspiration under ultrasound and the start the work up by seeing what the FNA results show. Make sure you follow up with this quickly.
Multinodular thyroid. The most common cause of your ultrasound finding is a multinodular goiter. Majority of time these are benign and the thyroid will have normal function. It is actually more of a concern for cancer when the thyroid only has 1 or 2 solid nodules, not dozen of smaller ones. A thyroid biopsy is a simple test to sample suspicious nodules.
Probably not. Your doctor may order an ultrasound guided biopsy to be sure.
Low. Thyroid nodules are common. More than 80% are benign. Yet they require follow up with serial ultrasounds as advised by your doctor. Most patients do fine with once yearly ultrasound follow up for any change in size of the nodules.
My father was diagnosed with thyroid cancer at 46. I am 27, but asked for a thyroid ultrasound as a precaution. The us revealed one 4x6x6mm solid nodule. Should I be worried? Does this merit biopsy?
Generally no... In most instances, thyroid nodules / lesions that are less than 10 mm in size do not need biopsy. If your father had medullary thyroid carcinoma, then it might be possible that you have a familial syndrome. If he had a well differentiated cancer (papillary or follicular), then less likely to be heritable. Discuss the need to biopsy versus follow with serial ultrasounds with your provider.
Any solid nodule. Requires a biopsy. Let's hope and pray it's not malignant.
Biopsy it. Thyroid cancer can run in families. If you have a family history and a nodule a biopsy is warranted. Most thyroid nodules, however, are benign. Best wishes to you and your father.
Follow closely. Thyroid nodules are very common. The risk of cancer is only 5%. I would follow this nodule with another ultrasound in a year and would consider biopsy only if it grows on the subsequent ultrasound. Your current nodule is currently very small.