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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Thyroid Nodule Ultrasound
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.
Thyroid Nodule Ultrasound
by are1982, Aug 09, 2009 02:58PM
Can you please help me to understand the results of my most recent Ultrasound and Uptake and Scan.
The blood work showed normal thyroid function.
The Uptake and Scan report is as follows:
Findings: Thyroid uptake and thyroid scan was performed after oral administration of 339 uci of I-123. The 24-hour uptake is 29.5% which is normal. The thyroid scan shows slight enlargement of the thyroid gland. Hypofunctioning nodule is seen in the right lobe of the thyroid gland. Left lobe is normal.
Impression:
1. Normal Thyroid uptake
2. Hypofunctioning nodule in the right lobe of the thyroid gland.
The Ultrasound information is as follows:
Indication: Enlarged Thyroid. Findings: The right lobe of the thyroid gland measures 5.7 cm by 2.3x3.1cm. The left lobe of the thyroid gland measures 5.8x1.8x1.7cm. The isthmus measures 4 mm in thickness. There is a complex mass within the inferior aspect of the right lower thyroid gland. This heterogeneous in appearance and measures 2.6cm in greatest dimension. No definite vascular flow is noted within the septations or mural nodule.
Impression: Dominant mass within the right lobe of the thyroid gland. Correlation with serum lab values and nuclear scintigraphy may be helpful for further evaluation.
My ENT Doctor whats to do a partial removal of my thyroid and I'm scheduled at the end of this month. Why would he not do a FNA before scheduling the surgery. I am absolutely terrified, is this thyroid cancer?
The blood work showed normal thyroid function.
The Uptake and Scan report is as follows:
Findings: Thyroid uptake and thyroid scan was performed after oral administration of 339 uci of I-123. The 24-hour uptake is 29.5% which is normal. The thyroid scan shows slight enlargement of the thyroid gland. Hypofunctioning nodule is seen in the right lobe of the thyroid gland. Left lobe is normal.
Impression:
1. Normal Thyroid uptake
2. Hypofunctioning nodule in the right lobe of the thyroid gland.
The Ultrasound information is as follows:
Indication: Enlarged Thyroid. Findings: The right lobe of the thyroid gland measures 5.7 cm by 2.3x3.1cm. The left lobe of the thyroid gland measures 5.8x1.8x1.7cm. The isthmus measures 4 mm in thickness. There is a complex mass within the inferior aspect of the right lower thyroid gland. This heterogeneous in appearance and measures 2.6cm in greatest dimension. No definite vascular flow is noted within the septations or mural nodule.
Impression: Dominant mass within the right lobe of the thyroid gland. Correlation with serum lab values and nuclear scintigraphy may be helpful for further evaluation.
My ENT Doctor whats to do a partial removal of my thyroid and I'm scheduled at the end of this month. Why would he not do a FNA before scheduling the surgery. I am absolutely terrified, is this thyroid cancer?
Doctor's Answer
by Mark Lupo, M.D., Aug 10, 2009 06:32AM
, Aug 10, 2009 06:32AM
An FNA biopsy is the next step. Most cold (hypofunctioning) nodules are benign and this can usually be proven with FNA biopsy. Surgery for a benign nodule would only be needed if the nodule is causing pressure symptoms.
