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What Does This Thyroid Test Report Indicate?

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Posted on Fri, 18 Nov 2016
Question: I have a 3 mm hyperechoic thyroid nodule and my TSH is 3.03. I cannot get in to see my dr until next week and am very concerned about cancer.
doctor
Answered by Dr. Mirjeta Guni (17 minutes later)
Brief Answer:
It is too small to get worried.

Detailed Answer:
Hello,
I can understand your concern but there is no reason to get worried.

A 3 mm nodule is considered very small.
Usually, when the nodule is under 1 cm, it is recommended to be followed up with ultrasound every 6 months.

If the nodule is below 1 cm but has 2 or more suspicious characteristics in ultrasound or if you have a strong family history for familiar thyroid cancer then FNAC is indicated.

Regarding to TSH level it is within the normal levels , it means that the thyroid gland functions normally.

Will be a pleasure to answer your further questions.

Kind Regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mirjeta Guni (19 minutes later)
So the hyperechoic does not seen concerning? Also, I read on the XXXXXXX Thyroid Association website that high normal TSH is more suggestive of malignancy?
doctor
Answered by Dr. Mirjeta Guni (8 minutes later)
Brief Answer:
Hyperechoic nodules are considered benign.

Detailed Answer:
Welcome back,
Hyperechoic is a characteristic of benign nodules.

A 3 mm, hyperechoic lesion has almost 0% chances to be malignant. So there is no reason to get worried.

Usually, if a nodule is hot, it means if it is overactive or it produces too much hormones (confirmed with low TSH and high Ft4 and Ft3) , has lower chances to be malignant.

In your case, I would recommend a follow up with ultrasound after 6 months.

Wishing you good health,
Kind Regards,
Dr.Mirjeta
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. Arnab Banerjee
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Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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What Does This Thyroid Test Report Indicate?

Brief Answer: It is too small to get worried. Detailed Answer: Hello, I can understand your concern but there is no reason to get worried. A 3 mm nodule is considered very small. Usually, when the nodule is under 1 cm, it is recommended to be followed up with ultrasound every 6 months. If the nodule is below 1 cm but has 2 or more suspicious characteristics in ultrasound or if you have a strong family history for familiar thyroid cancer then FNAC is indicated. Regarding to TSH level it is within the normal levels , it means that the thyroid gland functions normally. Will be a pleasure to answer your further questions. Kind Regards, Dr.Mirjeta