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UNKNOWN0 11-20-2012 07:44 PM

thyroid nodules
 
hi,

I have enlarged thyroid glands since i was little (when i was still in 6th grade), and now I am 31 years old. I never have nodules until last year, we found a 2mm nodule on my left lobe, and this year, there's a new 6mm well circumscribed hypoechoic isthmus nodule. my lab works are normal ( i had hypo and hyper before, one of the docs said i had grave disease but i got recovered, haven't have any problem with the lab works since, and that's about 4 years ago) Can a nodule grow so quickly, appear within a year? The doc said we will repeat ultrasound in 6 months, if it gets bigger, we will do biopsy. I called him back to see if there's any reason we shouldn't do the biopsy now, he said no. So it's up to me again, to see if i should do the biopsy..... is there any drawback that we shouldn't do it? how accurate is the FNB? since i have thyroid since i was young.. does it mean that eventually i will need to take the thyroid out? any of you have similar experience? sorry for so many questions... thank you in advance for any feedback and advise and happy thanksgiving!

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my ultrasound report:

Right Lobe: 6cm x 3cm x 1.3cm with a heterogenous echo pattern, slight increased vascularity; No nodule.

Left Lobe: 6cm x 2cm x 1.3cm with a heterogenous echo pattern, slight increase in vascularity. one 2mm nodule, uncharged from last year.

Isthmus: a 6mm well circumscribed hypoechoic nodule, not noted previously.

Impression: new 6mm well circumscribed hypoechoic isthmus nodule, not noted previously; 6 month followup is recommended to confirm stability.
Stable left lobe 2mm nodule
Mild increased in thyroid vascularity, this can be seen in nonspecific inflammatory processes
No adjacent adanopathy.

thyroidmess 11-21-2012 02:01 PM

Re: thyroid nodules
 
Hi there, sorry you are dealing with this but you get used to it in time. I believe many people go their whole lives with nodules and never need tt. I've known about my nodules for 13 years, 1 is 2cm, others 8mm-1.5cm. I have at least 8 in all. Last ultrasound used all the buzz words, calcification, solid, hypoechoic etc but docs not least bit concerned. Sorry i can't tell you more, guess they're so common most docs disregard until major issues with them. Wishing you the best and hope you have a good, caring doc.

Reece 11-21-2012 02:53 PM

Re: thyroid nodules
 
The size of your nodules may be a bit small for a needle biopsy. Nodules can come and go if benign.

You should get full thyroid blood work, tsh, free t4, free t3, and antibodies (particularly graves, I think tsi) and then see if there's room to see if thyroid hormone might help suppress the growth of this thyroid and nodules.

Askalice 11-22-2012 01:49 AM

Re: thyroid nodules
 
My brother and sister have nodules bigger than mine (1mm) and have had needle biopsies. No cancer, they just have to keep an eye on them.

UNKNOWN0 11-25-2012 06:08 PM

Re: thyroid nodules
 
[QUOTE=thyroidmess;5092657]Hi there, sorry you are dealing with this but you get used to it in time. I believe many people go their whole lives with nodules and never need tt. I've known about my nodules for 13 years, 1 is 2cm, others 8mm-1.5cm. I have at least 8 in all. Last ultrasound used all the buzz words, calcification, solid, hypoechoic etc but docs not least bit concerned. Sorry i can't tell you more, guess they're so common most docs disregard until major issues with them. Wishing you the best and hope you have a good, caring doc.[/QUOTE]

thank you for your comment, sorry to hear about your sufferings too.. what is tt? have you biopsied your nodules? i don't know how accurate is the needle biopsy, if it's not very accurate, why bother with the testing... how often do you do altrasound?

UNKNOWN0 11-25-2012 06:32 PM

Re: thyroid nodules
 
[QUOTE=Reece;5092676]The size of your nodules may be a bit small for a needle biopsy. Nodules can come and go if benign.

You should get full thyroid blood work, tsh, free t4, free t3, and antibodies (particularly graves, I think tsi) and then see if there's room to see if thyroid hormone might help suppress the growth of this thyroid and nodules.[/QUOTE]


hi, thanks for your comment. i've done the blood work, the lab results are normal. do nodules really come and go? i thought they will always stay. i was hoping the 2mm nodule i had last year would disappear on this report too.......but here comes another one, triple the size.. -__-

it's kinda ironic to see statistics saying there's very little chance of the nodules being cancerous, but it's still 10%, it's still somewhat high, isn't it? oh wells, i don't know what to do at the moment. do you know what it means when the report says i have increased vascularity?

UNKNOWN0 11-25-2012 06:34 PM

Re: thyroid nodules
 
[QUOTE=Reece;5092676]The size of your nodules may be a bit small for a needle biopsy. Nodules can come and go if benign.

You should get full thyroid blood work, tsh, free t4, free t3, and antibodies (particularly graves, I think tsi) and then see if there's room to see if thyroid hormone might help suppress the growth of this thyroid and nodules.[/QUOTE]


hi, thanks for your comment. i've done the blood work, the lab results are normal. do nodules really come and go? i thought they will always stay. i was hoping the 2mm nodule i had last year would disappear on this report too.......but here comes another one, triple the size.. -__-

it's kinda ironic to see statistics saying there's very little chance of the nodules being cancerous, but it's still 10%, it's still somewhat high, isn't it? oh well, i don't know what to do at the moment. do you know what it means when the report says i have increased vascularity?

thyroidmess 11-25-2012 06:43 PM

Re: thyroid nodules
 
TT is a total thyroidectomy. Some also just have 1 lobe removed. Both my lobes are full of nodules. I've had an ultrasound every 6 years since I learned about nodules. 1 biopsy of 1 nodule in 2000, inconclusive because of insufficient cells but thought to be benign so docs haven't been concerned since. I guess I don't have Graves or Hashi's so unknown cause of nodules. Hope you can get all the appropriate tests and put your mind at ease, or if need be, treatment.


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