Thryoid Nodules

[flip2590]

I was recently diagnostic with a low thryoid. Suddenly, my levels were high six months earlier they were normal. Taking 125mcg Lev.
Anyway, I was diagnosed with two hypoechoic nodules 7mm in size. My second ultrasound was recently done 7 months after first with the following:
Mild heterogenicity of the thyroid gland with small nodules as described stable compared to prior study.
My endo doc called me and let me know that I am stable. I was wondering I should be considered for a biopsy.Is it if nodules increase to 1cm or more charactistics show up on the ultra sound. Just a little concerned. I am a worry wort especially when they defined the nodules hypoechoc. I believe that these types have a 20 percent chance of Maliginacy.

thank you

[flip2590]

Thank you for your comments.
I like my endo. I think she is a good doctor. My last ultrasound came back with no change in 7 months. No other characteristics. Was your nodule that dissappeard a solid nodule or hypoechoic?

[flip2590]

Thank you for your comment. 8cm is pretty large unless you meant 8mm.
Hopefully, your sister is doing fine.

[3Beppe]

MANmom is correct. I've had nodules and the endos don't seem to get nervous about them until they go from like 7mm to a huge jump in a  very short period of time, say a week. Mine was 9mm and was watched for 6 months, that made me nervous. I changed endos and the new one did a needle biopsy right away, the result was 'atypical'. Not malignant but not benign. He then said we'd watch it very closely and I was checked every 3 months, just like that it disappeared. I do have another in the same spot but can tell it's not anywhere near 1 CM. Get out a tape measure and kind of keep an eye on it.
I've had about 4 different endocrinologists and am now seeing one I trust. If you don't like what this one is telling you, it's OK to change.
Don't forget, too, that they have nurses you can call and question if you are nervous about something. That's what they're there for, so call if you need or want to.  :-)

[MANmom]

Yes, they usually won't do a biopsy on nodules less than 1 cm, at least in most cases.  My sister had on that was 8 cm biopsied after they found my cancer, they did find cancer in her, too.  Hard to hit that size with a needle.  If they aren't growing quickly, you can wait.  The characteristics to watch out for are calcifications, irregular borders, and increased vascularity within the nodule.  Even if you have all these, it is still not a sure bet that you have a cancer.  Thyroid disease is notoriously hard to diagnose; fortunately if it is cancer, it is one of the most curable types of cancer and usually does not spread.