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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Test Result For Thyroid Indicate?

I was found to have a 3.5 x 1.7 x2.4. cm heterogeneous hypoechoic solid cystic mass mid to lower pole left lobe a few months ago, recently had another ultra sound the 1st finding is the same, but now found up to 0.6 cm hypoechoic oval solid mass midpole left lobe laterally that was not seen before. Had a FNA performed after the 1st ultrasound and was told it was unreadable. Not sure what to do now.
Mon, 9 Sep 2019
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General & Family Physician,  's  Response
Hello,

If a thyroid mass is identified and the FNA is unreadable, probably the next step would be to remove the mass surgically (lumpectomy) or sometimes to remove that side of the thyroid (lobectomy). This is the case especially if the TSH is normal (the lump is not producing extra thyroid hormone- we call it a "cold" nodus).

One in 10 "cold" nodes in the thyroid is cancer, so it is important to further investigate them till we are sure they are not cancer.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
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What Does This Ultrasound Test Result For Thyroid Indicate?

Hello, If a thyroid mass is identified and the FNA is unreadable, probably the next step would be to remove the mass surgically (lumpectomy) or sometimes to remove that side of the thyroid (lobectomy). This is the case especially if the TSH is normal (the lump is not producing extra thyroid hormone- we call it a cold nodus). One in 10 cold nodes in the thyroid is cancer, so it is important to further investigate them till we are sure they are not cancer. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Regards, Dr. Antoneta Zotaj General and Family Physician