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Old 06-26-2010, 06:05 PM   #1
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is this thyroid cancer?

I just had a ultrasound of my thyroid. measurements: rt lobe 4.2cm and left 4.3cm. It is diffusley heterogeneous. multiple small solid and complex cystic nodules identified. 2 on rt. measuring 6 & 4mm and on left there are at least 4 discrete nodules measuring between 3 and 11mm. does anyone know how to translate this?? My dr. is sending me to a specialist and said that they may want to do a ndl biopsy.

 
Old 06-27-2010, 05:13 AM   #2
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Re: is this thyroid cancer?

You can't diagnose thyroid cancer from an ultrasound or blood work. Sounds like you have a "multinodular goiter" a lumpy bumpy thyroid, usually from thyroid disease. It's really common, and not going to hurt you. You can try thyroid medication to see if it helps with this.

They can needle biopsy those in the 1cm (10 mm) range, and try to see what cells are in there. It will only get a sample of these cells, so it's just another step in evaluating what's going on.

If the needle biopsy is benign (which 85-95% are benign) they will probably watch them over time for changes. If it's inconclusive, or suspicious, they may have to remove for a real pathology, because it's the only way to be sure.

Multiple nodules, one are often more likely to be benign than a solitary one.

The fna isn't a big deal, just feels like pressure for a minute or so. Let us know how it goes.

 
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Old 06-29-2010, 04:48 PM   #3
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Re: is this thyroid cancer?

I need help understanding my ultrasound result, I was told I don't have to make the FNA appointment right away, but I want to know if anyone can tell me what these results mean. Endo told me that they didn't find anything really abnormal but Im still worried. My thyroid levels are all normal

The thyroid gland is normal size, although diffusely heterogeneous. There is a hypoechoic heterogeneous lobular nodule seen in the midpole of the right lobe of approximately 1.5 x 1.2 cm width and depth, respectively. Echogenic foci suggest calcifications. There is some peripheral and patchy overlying vascularity. No dominant nodule is seen in the left lobe or elsewhere in the heterogeneous right lobe.

Impression: Normal size heterogeneous thyroid gland with a 1.5 cm nodule in the midpole of the right lobe.

 
Old 07-11-2010, 10:56 AM   #4
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Re: is this thyroid cancer?

I had cancer of the thyroid. They looked for what they called a hot spot. If it was red/solid it was probably cancer and not a cyst. They removed the right side and it had nodullary cancer and had invaded the perimeters of the specimen so they took out the rest and it had modullary cancer. This is unual to have two different cancers in the same organ. I am no expert but if it says cyst then I would think that most likely it is not cancer. Just be optimistic. I have been cancer free ten years.

 
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