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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Stable Isoechoic Nodule ????
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
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.
Stable Isoechoic Nodule ????
by beauti8, Oct 13, 2009 12:22PM
In November of 2008 I had a partial thyroidectomy to remove the right lobe of my thyroid due to enlargment causing breathing and swallowing issues, a central enlarged nodule and several smaller nodules. Six weeks later I was placed on Levothyroxine 100 mcg once a day. In August I had a follow up ultrasound for the remaining left side as it had a few small nodules when the surgury was done. The results are as follows:
Right Lobe: Surgically removed
Left Lobe: Within its pole, there is a subtle isoechoic nodule measuring 9.7mm. The remainder of the left lobe appears unremarkable.
Size: 5.2 x 1.5 x 1.9 cm
Isthmus: Normal in thickness
Other: None
Conclusion:
1. Previous surgical removal of the right lobe of the thyroid
2. The left lobe shows a stable subtle isoechoic nodule in the midpole measuring 9.7mm.
My doctor has requested I have a biopsy preformed. My questions are: Is this something to worry about? Is a biopsy recommended? What are the chances that I will have to have another surgury and have the remainder of my thyroid removed?
Any help would be great as I am not looking forward to going through this again as this is how it started in the first place.
Right Lobe: Surgically removed
Left Lobe: Within its pole, there is a subtle isoechoic nodule measuring 9.7mm. The remainder of the left lobe appears unremarkable.
Size: 5.2 x 1.5 x 1.9 cm
Isthmus: Normal in thickness
Other: None
Conclusion:
1. Previous surgical removal of the right lobe of the thyroid
2. The left lobe shows a stable subtle isoechoic nodule in the midpole measuring 9.7mm.
My doctor has requested I have a biopsy preformed. My questions are: Is this something to worry about? Is a biopsy recommended? What are the chances that I will have to have another surgury and have the remainder of my thyroid removed?
Any help would be great as I am not looking forward to going through this again as this is how it started in the first place.
Doctor's Answer
by Mark Lupo, M.D., Oct 13, 2009 03:57PM
, Oct 13, 2009 03:57PM
a 9.7mm isoechoic nodule is usually watched without fna. If it grows to above 10-15mm, FNA is recommended. It is possible that this will grow, and require FNA and possibly surgery. This needs to be watched over time.
