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Old 05-22-2006, 03:40 PM   #2
Join Date: Nov 2005
Location: Texas, USA
Posts: 456
hyperkim HB User
Re: Thyroid nodules, can they shrink on their own?

Stephanie, I have a nodule also. I had a long discussion in January with my dr about nodules. I copied this from a post I made right after that drs appt.

She says from her 25 years of clinical and personal experience with thyroid goiters, nodules, cancers, autoimmune thyroid conditions, etc. the following is a consistancy. Thyroid nodules are generally of no threat unless they are growing. (Unless of course they affect swollowing, breathing, appearance, etc.) Her usual routine with nodules is to establish a track record in the begining with an original sono to check thyroid health and presence of goiter and/or nodules and their type. Then if nothing extraordinary appears you follow up every three months. If no growth is noted you can then back off to sono once every 6 mos to 1 year. Unless a symptom arises to need a current look at the thyroid. If there is a nodule that is growing she will offer to do an uptake scan or a biopsy to establish the nature of the nodule. Then procede with appropriate treatment from there. She said her personal experience has been that 10 years ago she had 8 or 9 nodules (can't remember exactly) with one of those being dominant in size. She had someone (can't remember who she said, sorry) that wanted her to biopsy all of them or just have her entire gland removed. She didn't want surgery yet, but the thought of all those needles going in her neck was too much of a thought (she admitted she is a wimp). She put it off. And off. And off. Finally she did another sono to check on the nodules. Some of them had shrunk. So she kept puttin them off. Anyway, fast forward to yesterday(in Jan)....She said currently she is down to one nodule and it is approx 3.5cm x 2.5cm. This was the largest and it is smaller than ten years ago. She says all cancerous nodules grow. Only some noncancerous nodules grow. All the cases of thyroid cancers she has seen have progressed very slowly. She has not seen any drastic progression of thryoid cancer. That is why she just watches the nodules on sono then goes on to the other tests when nodule growth starts.

That's it for the previous post. As for the Synthroid question, my dr is hypothyroid herself. And she does take a thyroid hormone replacement. I don't know which one or if that is a factor with her nodule situation.

After alot of debating at the time, I finally decided to go along with my dr and do a "wait and see" approach. My sister and mother were told basically the same thing about spots on the liver and cysts on the kidney. "Wait and see". Retest in 3-6months to check for changes.

I think the general thought is that cysts/nodules/tumors can and do grow everywhere in the body. They only become a problem when they start interfering with the basic functions of the body. Most shrink/disappear without us ever knowing they were there.

My dr redid my sono one month after the first one. There had been no changes. I go back on June first for my next sono. I'll probably post the results here when I get them back.

Ok. I think that's all I know about possible shrinking nodules. If you have normal labs and have no symptoms at this time, then I would do the "wait and see" thing. You can keep an eye on the nodule with sonograms. And you can request thyroid levels be checked regularly to keep an eye out for thyroid problems before it flares. (If that were to happen.)

If you do get the labs to "watch" you thyroid levels....Get the Free T4 and Free T3 levels tested. And get the actual paper copy of the labs report. Then you can track your levels to see for yourself if your levels are "sliding" one way or the other.

Ok I'll stop typing! sorry for the info overload!

Best wishes and keep us posted1
Hyperthyroidism 11/05
Confirmed Graves Dx 1/06
Adrenal fatigue Dx 8/06
Fibromyalgia Dx 1/08
Chronic Fatigue Syndrome Dx 1/08