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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
thyroid results
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 results
by Anthem26, Jul 09, 2007 12:00AM
My mother recently came back from the doctors for her thyroid scan and uptake only to find out that further testing needed to be done. The doctor told her that she needed a biopsy to further detail her condition.
Here are the results:
FINDINGS: Large area of photophenia is present in the mid to lower portion of the right lobe of the thyroid gland. The left lower is unremarkable and normal in size.
CONCLUSION:
1. Normal Thyroid uptake.
2. Cold Lesion (that's bad, isn't it?) in the mid to lower portion of the right lobe of the thyroid.
FINAL RESULTS
RIGHT LOBE:
SIZE: 6.8 x 2.2 x 2.7 cm.
ECHOTEXTURE: Heterogeneous. CYSTS: ________
NODULES: 1.3 x 0.8 x 1.0 cm; 2.7 x 2.0 x 2.5 cm.
LEFT LOBE:
SIZE: 5.5 x 1.9 x 1.7 cm.
ECHOTEXTURE: Heterogeneous.
CYSTS: None.
NODULES: None.
ISTHMUS:
SIZE: 0.28 cm.
ECHOTEXTURE: Heterogeneous.
CYSTS: None.
NODULES: None.
IMPRESSIONS: 1. Both lobes of the thyroid are enlarged. 2. A complex nodule is demonstrated having both solid and cystic components in the lower pole of the right lobe measuring 2.7 x 2.0 x 2.5 cm in dimension. A smaller complex nodule is also demonstrated more superiorly measuring 1.3 x 0.8 x 1 cm in dimension. 3. The left lobe of the thyroid is enlarged as well, without evidence of discrete mass or cyst.
Given this report,what is the likelihood that this nodule is malignant?
Here are the results:
FINDINGS: Large area of photophenia is present in the mid to lower portion of the right lobe of the thyroid gland. The left lower is unremarkable and normal in size.
CONCLUSION:
1. Normal Thyroid uptake.
2. Cold Lesion (that's bad, isn't it?) in the mid to lower portion of the right lobe of the thyroid.
FINAL RESULTS
RIGHT LOBE:
SIZE: 6.8 x 2.2 x 2.7 cm.
ECHOTEXTURE: Heterogeneous. CYSTS: ________
NODULES: 1.3 x 0.8 x 1.0 cm; 2.7 x 2.0 x 2.5 cm.
LEFT LOBE:
SIZE: 5.5 x 1.9 x 1.7 cm.
ECHOTEXTURE: Heterogeneous.
CYSTS: None.
NODULES: None.
ISTHMUS:
SIZE: 0.28 cm.
ECHOTEXTURE: Heterogeneous.
CYSTS: None.
NODULES: None.
IMPRESSIONS: 1. Both lobes of the thyroid are enlarged. 2. A complex nodule is demonstrated having both solid and cystic components in the lower pole of the right lobe measuring 2.7 x 2.0 x 2.5 cm in dimension. A smaller complex nodule is also demonstrated more superiorly measuring 1.3 x 0.8 x 1 cm in dimension. 3. The left lobe of the thyroid is enlarged as well, without evidence of discrete mass or cyst.
Given this report,what is the likelihood that this nodule is malignant?
Doctor's Answer
by Mark Lupo, M.D., Jul 10, 2007 12:00AM
, Jul 10, 2007 12:00AM
Nodules carry a 5-10% chance of being cancer. It needs to be biopsied. The scan did not add any useful info at this point int the evaluation. Next step is ultrasound guided biopsy. If the TSH is normal, a nodule needs FNA as the next step, not an I-123 scan.
Findings: 6.7x2.7x2.5 cm right lobe thyroid. 5.1 mm isthmus. Left lobe thyroid 2.3x5.9x1.8cm. A heterogenous throid echotexture. Along the posterior aspect of the left lobe of the thyroid a 5.7x6.7x5.0mm nodule. Within the left lobe if the thyroid a 5.7x3.0x5.7 mm nodule.
Inpression: Heterogenous thyroid echotexture. A nodule in the left lobe of the thyroid. a nodule along the posterioor aspect of the left lobe of the thyroid. Thyrodial versus extrathyroidal in origin.
How does this honestly sound? I dont want to be surprised when I go to my endo. Also, my thyroid has been bugging me lately. I constantly feel a "fullness" in my neck. Do you think my endo would take it out of i ask her to?