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Old 08-08-2010, 10:11 AM   #1
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Question Hypoechoic Nodules

I had an ultrasound done earlier last year where my nodules on my thyroid where found. I am due to have another ultrasound in the next couple of weeks, so I took my out results from last year to read so I could compare them with my upcoming ultrasound results. Last year I didn't understand as much as I do now.

I have two hypoechoic which I have learned tend to be more cancerous or malignant while hyperechoic tend to be more benign. I never has FNA or further investigation of my nodules. Here is what my report from last year says:

The right lobe of the thyroid measures approx. 2.8 x 1.0 x 1.4 cm.
The left lobe of the thyroid measures approx. 3.8 x 1.5 x 1.4 cm.

The thyroid parenchyma is diffusely heterogeneous. There is a 5 x 3 mm hypoechoic nodule noted within the lower pole of the right lobe of the thyroid.

A solid appearing 5 x 3 mm hypoechoic nodule is also noted within the right lobe of the thyroid.

What do you think? Do you think I should have had FNA done? My thyroid feels swollen internally, I have a lot of pressure in my neck, choking, etc. that I didn't have last year when this ultrasound was done. Let me know what you think. Thanks for your time!

 
Old 08-09-2010, 04:55 AM   #2
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Re: Hypoechoic Nodules

The cut off for an FNA is about 1 cm, if those haven't grown, there shouldn't be any need for an FNA at this point.

 
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Old 08-09-2010, 07:48 AM   #3
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Re: Hypoechoic Nodules

Why are the rules so black and white? I just read a study where they found that nodules less than 1cm tend to be more cancerous than those that are larger than 1cm.

 
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