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Thyroid: hypoechoic nodules
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Thyroid: hypoechoic nodules
Hi Doctors, I am a 27 years old female, I noticed lately that my neck looks awkward a bit and it gets bigger sometimes.. I had a thyroid ultrasonography and it revealed the following:
Both thyroid lobes were of average size. Showed homogenous parenchymal echopattern, a small hypoechoic left lower pole nodule (9 mm) is noted. Left lobe showed tiny calcification as well.
No right lobe solid or cystic lesions or calcifications. Right lobe 15 mm, left lobe 18 mm in AP dimension. Normal appearance of the thyroid isthmus and no cervical lymph node enlargement. Normal vascular structures of the neck.

What should I do now? Do I need to remove this nodule? Do I need to do more tests or X-rays? I am really concerned about the whole thing, specially that my neck gets bigger several times & it still look awkward even when it's having its normal size..
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97953 tn?1440868992
This appears to be a small nodule that should be watched with repeat ultrasound in 6-12 months and biopsied if grows to more than 10mm.  IF you have a family history of thyroid cancer or a personal history of radiation exposure to the neck, then a biopsy may be reasonable at this time.  Would not recommend going directly to surgery for this nodule.  An endocrine evaluation by an ECNU certified physician would be advisable.
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