Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Thyroid Nodules W/Hashi's
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 Nodules W/Hashi's
by 3kidsforme, May 01, 2007 12:00AM
Long story short; palpable nodule discovered on well woman exam 2006, 1st endo referred to; dx; Hashi's my TSH was 6.4, Thyroid peroxidase ab were 331 normal was <35. 10/06 u/s of thyroid; heterogenous appearance, rt isoechoic nodule 2.68 x1.45 x2.14cm, lft lobe unremarkable, fna was a poor sample but noted; possible follicular lesion. I went to another endo for 2nd opinion; tried thryoxine suppression, my tsh went down to 0.11 on Synthroid. What bothers me is the following; repeat u/s done this month showed; decrease in size of prior nodule; 2.33 x 1.81 x 1.33, but now it notes I have a lft sided nodule 1.88 x.76 x..64. Could this have been missed previously? or can nodules come up even when on Synthroid? I am scheduled for another bx this month. What treatment plan do you see? Note; family hx; aunt had goiter, sister has goiter, no thyroid cancer. I am 42 yrs old.
Thank you.
Thank you.
Doctor's Answer
by Mark Lupo, M.D., May 03, 2007 12:00AM
, May 03, 2007 12:00AM
Nodules can come up even on synthroid. Hashi is sometimes difficult with regard to ultrasound -- there were likely two nodules from the beginning -- but the inflammation can make it difficult to see the borders of nodules and sometimes there are 'pseudonodules' due to the irregularity seen on ultrasound.
The R nodule is decreasing (presumably) in size, but now there's a nodule on the left -- the dimensions are suspicious for a pseudonodule (othewise it's like a short string-bean in terms of dimensions)
There is not one right answer here, I would repeat US in 3 months and if there are clearly bilateral nodules, FNA both of them to get good samples and to have peace of mind this is all just hashi.
The R nodule is decreasing (presumably) in size, but now there's a nodule on the left -- the dimensions are suspicious for a pseudonodule (othewise it's like a short string-bean in terms of dimensions)
There is not one right answer here, I would repeat US in 3 months and if there are clearly bilateral nodules, FNA both of them to get good samples and to have peace of mind this is all just hashi.
