Thyroid :: Nodule 4 Cm - Should Be Removed?


Sep 5, 2013

I'm 54/female...have a thyroid nodule 4 x 2 1/2 x 2....had a biopsy and it was filled w/fluid and blood.

Results came back today. Unremarkable, hypoplastic, no malignancy.....

Doctor said my TSH is 2.1.

He said I'm on the border of removing or not. He said the 1st ultrasound said it was 4 cm, second said 3.7 cenimeters.

he said that the larger the cyst the less the accuracy for the needle biopsy and said the accuracy is about 50/50

I had gone to the Ears/Nose/Throat about sinus issues and he found this lump.

So, i'm following up with the endocrinologist on the 18th to see what they think.

are there other tests the endo can do to determine my thyroid issues? I'm EXTREMELY tired, have had terribly dry skin, and various other symptoms......chalked up to a busy lifestyle.

Also, is 4 cm the decision factor on whether to take out or not? The ENT said he would be inclined to wait a couple months and then do another ultrasound...but agreed with my wanting an endocrinologist give a second opinion.

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My family dr sent me to ENT who I saw today. He didn't say much about nodule except for he would like to biopsy it in 2 weeks. After asking me a series of questions he also wants to rule out GERDS. He also wants to repeat an antibodies test I had done back in May when I was having hypo symptoms. No antibodies and was on higher range for hypo, 3.75 and 3.99 . I also had a saliva test back in May and revealed I had very low below the range of cortisol in morning, noon and lowest range for afternoon and midnight. I have had some changing in my throat. Kind of sore a lot and a constant phlegm and cough, which I guess GERDS does from what ENT said. What does he think about nodule?

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Thyroid :: 38mm Nodule

Ultrasound thyroid results

I have just found this forum and joined as I have a problem with my thyroid gland and isthmus. I just turned 67.

Several months to a year ago it was noted at the bottom of an x-ray that I had an enlarged thyroid on the right side. I will see if I have more details later but it was not thought to be too large or a worry although I have trouble swallowing and at times throw up my cup of tea due to it. My voice is also deeper.

On Wednesday I had a ultrasound of my thyroid and the report is as below. My thyroid is very sore since the ultrasound.
Report:

There is a large solid nodule (35 x 28 x 31mm) which occupies most of the right lobe of the thyroid. There is some retrosternal extension of the inferior margin of the right lobe of the thyroid,.

The left lobe has a generally homogenous echo texture and there is only a single nodule (8nn) in the inferior pole.

The isthmus of the thyroid measures up to 7mm in thickness.

There is no cervical lymph node enlargement.

COMMENT:

A large solid nodule expands the left lobe of the thyroid gland. The inferior extent has not been defined and if there are symptoms of impingement on the airway or oesophagus further investigation by CT scan may be advisable to assess this.

My doctor is like others mentioned. Three months ago when I told him I was bringing up blood and asked if it could have something to do with my thyroid he said he doubted it. He did feel my throat and then said there was nothing there now which was obviously wrong.

I still bring up blood but not every day although I was anaemic about 4 months ago and had to have infusions twice in outpatients to get my iron and red blood cells up. As for the bleeding, because I am on Warfarin (rat poison) any bleeding may be excessive. But still I am losing blood and my urine is dark yellow, orange or once recently it was a red brown colour.

I get the brush off from my doctor because I have so many autoimmune problems.

Hope I can get some advice on what I have copied above. I have PN, PMR, GCA, Sjogren's Syndrome and more. I have a lot of trouble walking and continual pain. To go out I have recently bought a tiny wheelchair so I am now longer house or car bound.

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I am waiting on the results of a new biopsy--the first one was 12 years ago--but I'm wondering if a benign nodule could do that to my voice, or if it's something unrelated. If the biopsy is negative, as I expect it will be, what then?

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