Nodules

[Indigo67]

Here is what my ultrasound results were.
Right Lobe upper lobe, circumscribed slightly hypoechoic nodule 14x10x14mm. Right middle pole posteriorly, slightly hypoechoic and heterogeneous circumscribed nodule, 24x18x16mm. Right lower pole hypoechoic circumscribed nodule with small cystic changes and bright reflectors, 10x12x8 mm. Left middle pole circumscribed mildly heterogeneous 12x9x9 mm nodule. Left upper pole mildly echogenic 5x5mm nodule. Left upper pole circumscribed, hypoechoic nodule with echogenic rim 3x4 mm. Left inferior pole hypoechoic circumscribed 3x4x5 mm nodule.
Thyroid measurement's: Left 1.4 x 1.4 x 1.1 Right 5 x 2.2 x 2.2.
My question is, does this look like it would more likely be cancer? I have a feeling it is. Also can I just bypass the FNA, and just have the surgery to take out my thyroid? It has caused me nothing but problems for many years. Thanks for your help.

[Indigo67]

Gibbon, thank you for your reply. I can feel them when I swallow and sometimes I get sharp pains in my throat. I did have Graves disease in 1998 and had RAI, which made my thyroid hypo, I have taken Levothyroxine ever since.

[Gibbon1]

I think the standard answer is, no way to know if nodules are cancer except by an FNA biopsy, or by pathology after removal.  That's what I read from the AACE position paper on thyroid nodules.

I suspect 'circumcised nodule' and 'cystic changes' argue against, but aren't definitive, leaving you with the typical 90-95% chance your nodules are benign.

'Thyroid measurement's: Left 1.4 x 1.4 x 1.1 Right 5 x 2.2 x 2.2.'

Left lobe seems small, if it's 1,4 x 1,4 x1,1, unless that's a typo and it's 4 x1.4 x 1.1.  

Taking your thyroid out wouldn't be something you want to do unless you have something like graves disease or mechanical symptoms because it's grown large. IE, pressing on other things in your neck.