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Old 01-22-2009, 06:10 PM   #1
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what size nodule is too large

I have a nodule in my thyroid that is 3.5cm x 1.4 x 1.4 cm. My doctor said my right side of thyroid should be removed because of size. Is this normal procedure or are other tests usually performed.

 
Old 01-22-2009, 08:31 PM   #2
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Re: what size nodule is too large

That is a pretty good size nodule......I have 4 dominant ones and my largest is 2.7cm. You could ask them to biopsy it or have a scan to see if it is hot or cold. Are you having any discomfort from it? Let us know what goes on.

Oleander

 
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Old 01-22-2009, 11:00 PM   #3
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Re: what size nodule is too large

Hi, I'm new and going through the same thing. My nodule is also 3.5cm and my ENT says that it's too large. They usually remove above 2. My ENT wanted to remove but now my Endo wants to give me the RAI pill. I'm struggling to make a decision. I had a biopsy and it is not cancerous and I've also had a scan and it's a hot nodule. I never knew I had it, they found it in april on ultrasound after irregular lab tests. Most of my family. and some nurses in my family say surgery but non are specailists and my husband yhinks I should take the RAI because if I get surgery they still give you two RAI treatments anyway.

Keepus updated I'd like to know your progress and I'll let you know if I get more info.

 
Old 01-23-2009, 05:10 AM   #4
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Re: what size nodule is too large

You can put off the surgery by first analyzing the risk of cancer, but you will never know for sure until you have the surgery.

You could have an fna---a needle aspiration/biopsy. It doesn't check all the cells, so it's only a tool.

Think of it this way, a thyroid lobe is 3-4 cm long, your nodule is as big as a thyroid lobe. I would get more surgical opinions, and know that the only way you will know this is okay, is by removing it.

 
Old 01-23-2009, 08:19 AM   #5
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Re: what size nodule is too large

1 cm diameter nodules warrant needle biopsy evaluation. When you get a nodule the size of yours, it is a hazard to your breathing, eating, and vocal cords. It is also under greater suspicion for being a bad growth. The only 100% way to determine if a nodule that size is malignant/bad is to remove it so a total biopsy of the tissue can be performed. In needle biopsies they only spot check the nodule and pockets of malignant tissue may be missed.

My mom had a PT and was just fine, I have had two aunts have TTs. They came out just fine as well.

MG
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Old 01-24-2009, 07:36 AM   #6
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Re: what size nodule is too large

I had a FNA for nodule around 1-2cm and the biopsy was inconclusive so I wouldnt even go that route to be honest. I ended up being scheduled for partial thyroidectomy and while in surg the nodule did turn out to be cancerous. Dont believe you can depend on knowing just by the size or a FNA . I am living proof they can be cancerous and it would not be known until the actual surgery. I have posted before about how mad I get that Drs let people walk around w/ nodules leading them to believe its ok.
REE

 
Old 01-24-2009, 01:44 PM   #7
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Re: what size nodule is too large

Quote:
Originally Posted by Lorisulin1962 View Post
I have a nodule in my thyroid that is 3.5cm x 1.4 x 1.4 cm. My doctor said my right side of thyroid should be removed because of size. Is this normal procedure or are other tests usually performed.
Hi, I'm going through the same ordeal as you and mine is 3.5 and was found by ultrasound but have also had biopsy and was found non cancerous and I had a scan.
Hope this helps.
Nakita

 
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