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Suggest Treatment For Hypoechoic Thyroid Nodule
Question: I have a solitary hypoechoic thyroid nodule. Bilateral unspecified cervical lymph nodes, small pulmonary nodules and they just found breast cysts and a mass. Also moderate infiltration fatty liver. (I don't drink) What could all this mean? These nodules started showing up in November and were not present in October. My doctor says due to my age not to worry. I'm 31.
Brief Answer:
Thyroid nodule
Detailed Answer:
Nearly 92-95% of thyroid nodules are benign. The chances of cancer are estimated based upon many factors such as:
A) Past or family history of thyroid cancer
B) Radiation exposure to the upper body/head neck area such as radiation treatment for cancers of this region
C) Ultrasound (USG) appearance and features of the nodule such as size, margins, calcifications, degree and pattern of blood flow etc
So is your answer to A) and B) yes?
Current guidelines recommend a (fine needle aspiration) biopsy of solitary hypoechoic nodules greater than 1 cm in size, and for even smaller ones if the one or more of the above risk factors are present.
The lung nodules need to evaluated too by a pulmonologist with a consideration of being related to thyroid nodule, as well as independently.
The fatty liver is unlikely connected to the thyroid nodule.
When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:
TSH
Free T4
CBC
CMP (electrolytes, kidney and liver function tests, calcium, glucose)
A1c
Lipids
Thyroid nodule
Detailed Answer:
Nearly 92-95% of thyroid nodules are benign. The chances of cancer are estimated based upon many factors such as:
A) Past or family history of thyroid cancer
B) Radiation exposure to the upper body/head neck area such as radiation treatment for cancers of this region
C) Ultrasound (USG) appearance and features of the nodule such as size, margins, calcifications, degree and pattern of blood flow etc
So is your answer to A) and B) yes?
Current guidelines recommend a (fine needle aspiration) biopsy of solitary hypoechoic nodules greater than 1 cm in size, and for even smaller ones if the one or more of the above risk factors are present.
The lung nodules need to evaluated too by a pulmonologist with a consideration of being related to thyroid nodule, as well as independently.
The fatty liver is unlikely connected to the thyroid nodule.
When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:
TSH
Free T4
CBC
CMP (electrolytes, kidney and liver function tests, calcium, glucose)
A1c
Lipids
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The answer to A is yes, but no to b. I did have an ultrasound. The nodule is 4x4x7mm hypoechoic thyroid nodule. So it's small. I have also had all of the lab tests you mentioned, multiple times. This is what they have found so far. Weak respiratory muscles, thyroid nodule, pulmonary nodules. breast nodules, cyst and solid mass. Oxygen drops when I am moving. weak muscles, fatty liver, palpable abdominal aortic pulsation but no bruit. adenoidal hypertrophy (adenoids have been removed before this) nodule or mass in back of throat (small multiple) Enlarged lymph nodes. Bilateral unspecified cervical lymph nodes. If there is any specific lab results you'd like to know about please let me know. also abnormal EKG's. But they let them go and say they are now my "normal". I've had echocardiogram, CT angiography, renal ultrasound, thyroid ultrasound, mammogram, breast ultrasound, Lung function tests, multiple chest x-rays and full body MRI, nerve function tests and EMG. also an EEG as I had a seizure like blackout
Brief Answer:
Follow up
Detailed Answer:
You will need an Internist to coordinate your care as it involves multiple organ systems.
If your TSH is also normal, then a detailed in-person discussion is due with your endocrinologist. A joint informed decision will need to be made regarding the next step regarding the management of your thyroid nodule.
Options include:
1 Monitor it with ultrasound periodically
2 Biopsy
3 Surgical removal
I see you have a family history of thyroid cancer in which case at least a biopsy is worth considering
Follow up
Detailed Answer:
You will need an Internist to coordinate your care as it involves multiple organ systems.
If your TSH is also normal, then a detailed in-person discussion is due with your endocrinologist. A joint informed decision will need to be made regarding the next step regarding the management of your thyroid nodule.
Options include:
1 Monitor it with ultrasound periodically
2 Biopsy
3 Surgical removal
I see you have a family history of thyroid cancer in which case at least a biopsy is worth considering
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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