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why do i need thyroid removed
Clinical history: Thyroid nodules.
Discussion:
Thyroid ultrasound performed. Comparison is to the prior study from March 30, 2015.
Isthmus is 3 mm in thickness.
Left thyroid lobe measures 4.3 x 1.2 x 1.7 cm.
Right thyroid lobe measures 4.9 x 1.4 x 1.7 cm.
Both thyroid lobes are mildly heterogeneous and contain nodules.
Largest right thyroid nodule is isoechoic nodule at the far inferior pole measuring 10 x 9 x 9 mm. Previously 11 x 8 x
7 mm. Other left thyroid nodules remain subcentimeter and unchanged in appearance.
The largest left thyroid nodule on the current study measures only up to 7 mm in the lower pole. A 10 mm nodule
described on the prior ultrasound in the posterior inferior aspect of the left lobe currently has the appearance of
mildly heterogeneous glandular tissue without defined margins to suggest a focal nodule.
Impression:
Bilateral subcentimeter thyroid nodules. Dominant nodule in the inferior pole of the right thyroid is unchanged
ULTRASOUND OF THYROID GLAND
INDICATION: Difficulty swallowing, history of nodules
TECHNIQUE: Realtime ultrasound scanning
COMPARISON: 7/22/14 ultrasound of thyroid gland
FINDINGS: Right lobe of the gland has homogenous echogenic pattern and measures 4.0 x 1.3 x 1.6 cm. There is
no generalized increased vascularity. In the lower pole there are 2 nearly isoechoic circumscribed nodules with the
larger measuring 11 x 8 x 7 mm and the smaller measuring 5 x 5 x 6 mm. The larger nodule has mildly increased in
size. On the prior study it measured 9 x 7 x 7 mm.
The left lobe of the gland measures 4.6 x 1.2 x 1.8 cm. There is no generalized increased vascularity. 3 nodules are
identified with the larger in the inferior pole measuring 10 x 6 x 5 mm. The other 2 nodules measure on the order of
5 mm and 4 mm in maximum diameter. Allowing for differences in technique this probably been no significant
change in the nodules. The thyroid isthmus is unremarkable measuring 3 mm in AP diameter.
IMPRESSION: Multinodular gland as described above.
last ultrasound
Clinical history: Thyroid nodules.
Discussion:
Thyroid ultrasound performed. Comparison is to the prior study from March 30, 2015.
Isthmus is 3 mm in thickness.
Left thyroid lobe measures 4.3 x 1.2 x 1.7 cm.
Right thyroid lobe measures 4.9 x 1.4 x 1.7 cm.
Both thyroid lobes are mildly heterogeneous and contain nodules.
Largest right thyroid nodule is isoechoic nodule at the far inferior pole measuring 10 x 9 x 9 mm. Previously 11 x 8 x
7 mm. Other left thyroid nodules remain subcentimeter and unchanged in appearance.
The largest left thyroid nodule on the current study measures only up to 7 mm in the lower pole. A 10 mm nodule
described on the prior ultrasound in the posterior inferior aspect of the left lobe currently has the appearance of
mildly heterogeneous glandular tissue without defined margins to suggest a focal nodule.
Impression:
Bilateral subcentimeter thyroid nodules. Dominant nodule in the inferior pole of the right thyroid is unchanged
Discussion:
Thyroid ultrasound performed. Comparison is to the prior study from March 30, 2015.
Isthmus is 3 mm in thickness.
Left thyroid lobe measures 4.3 x 1.2 x 1.7 cm.
Right thyroid lobe measures 4.9 x 1.4 x 1.7 cm.
Both thyroid lobes are mildly heterogeneous and contain nodules.
Largest right thyroid nodule is isoechoic nodule at the far inferior pole measuring 10 x 9 x 9 mm. Previously 11 x 8 x
7 mm. Other left thyroid nodules remain subcentimeter and unchanged in appearance.
The largest left thyroid nodule on the current study measures only up to 7 mm in the lower pole. A 10 mm nodule
described on the prior ultrasound in the posterior inferior aspect of the left lobe currently has the appearance of
mildly heterogeneous glandular tissue without defined margins to suggest a focal nodule.
Impression:
Bilateral subcentimeter thyroid nodules. Dominant nodule in the inferior pole of the right thyroid is unchanged
ULTRASOUND OF THYROID GLAND
INDICATION: Difficulty swallowing, history of nodules
TECHNIQUE: Realtime ultrasound scanning
COMPARISON: 7/22/14 ultrasound of thyroid gland
FINDINGS: Right lobe of the gland has homogenous echogenic pattern and measures 4.0 x 1.3 x 1.6 cm. There is
no generalized increased vascularity. In the lower pole there are 2 nearly isoechoic circumscribed nodules with the
larger measuring 11 x 8 x 7 mm and the smaller measuring 5 x 5 x 6 mm. The larger nodule has mildly increased in
size. On the prior study it measured 9 x 7 x 7 mm.
The left lobe of the gland measures 4.6 x 1.2 x 1.8 cm. There is no generalized increased vascularity. 3 nodules are
identified with the larger in the inferior pole measuring 10 x 6 x 5 mm. The other 2 nodules measure on the order of
5 mm and 4 mm in maximum diameter. Allowing for differences in technique this probably been no significant
change in the nodules. The thyroid isthmus is unremarkable measuring 3 mm in AP diameter.
IMPRESSION: Multinodular gland as described above.
last ultrasound
Clinical history: Thyroid nodules.
Discussion:
Thyroid ultrasound performed. Comparison is to the prior study from March 30, 2015.
Isthmus is 3 mm in thickness.
Left thyroid lobe measures 4.3 x 1.2 x 1.7 cm.
Right thyroid lobe measures 4.9 x 1.4 x 1.7 cm.
Both thyroid lobes are mildly heterogeneous and contain nodules.
Largest right thyroid nodule is isoechoic nodule at the far inferior pole measuring 10 x 9 x 9 mm. Previously 11 x 8 x
7 mm. Other left thyroid nodules remain subcentimeter and unchanged in appearance.
The largest left thyroid nodule on the current study measures only up to 7 mm in the lower pole. A 10 mm nodule
described on the prior ultrasound in the posterior inferior aspect of the left lobe currently has the appearance of
mildly heterogeneous glandular tissue without defined margins to suggest a focal nodule.
Impression:
Bilateral subcentimeter thyroid nodules. Dominant nodule in the inferior pole of the right thyroid is unchanged
i have 4 Malignant tumor of thyroid gland
2 Comments
they did another ultrasound a week ago and i have 4 on the left lobe are each dominant and mtc my biopsy came back
each are 2cm big
COMMUNITY LEADER
For what reason are they removing your thyroid?
1 Comments
i have 4 Malignant tumor of thyroid gland
COMMUNITY LEADER
What blood tests have been done? It sounds like your symptoms are caused more from being hypothyroid, than from the nodules on your thyroid, which, usually don't cause any symptoms...
If you've had blood tests done, please post the results, here so we can see what they are... Be sure to include reference ranges, since those vary from lab to lab and have to come from your own report.
The most common tumor marker is Thyroglobulin (Tg), but that can be erroneous, if Thyroglobulin Antibodies (TgAb) are present... The presence of TgAb would indicate that you have Hashimoto's, which is the most common cause of hypothyroidism in the U.S. Another marker for Hashimoto's is Thyroid Peroxidase Antibodies (TPOab)...
Most of us, here on the forum have Hashimoto's as the cause for our hypothyroidism and your symptoms sound very typical. It sounds like you need replacement thyroid hormones.
Thyroid cancer is present in less than 5% of all nodules and death from thyroid cancer is even more rare than that...
There is nothing in your ultrasound that's even recommending a biopsy, let alone thyroid removal... you haven't told me "who" said you need your thyroid removed...
If you've had blood tests done, please post the results, here so we can see what they are... Be sure to include reference ranges, since those vary from lab to lab and have to come from your own report.
The most common tumor marker is Thyroglobulin (Tg), but that can be erroneous, if Thyroglobulin Antibodies (TgAb) are present... The presence of TgAb would indicate that you have Hashimoto's, which is the most common cause of hypothyroidism in the U.S. Another marker for Hashimoto's is Thyroid Peroxidase Antibodies (TPOab)...
Most of us, here on the forum have Hashimoto's as the cause for our hypothyroidism and your symptoms sound very typical. It sounds like you need replacement thyroid hormones.
Thyroid cancer is present in less than 5% of all nodules and death from thyroid cancer is even more rare than that...
There is nothing in your ultrasound that's even recommending a biopsy, let alone thyroid removal... you haven't told me "who" said you need your thyroid removed...
I just had a total thyroidectomy 3 weeks ago due to Follicular cancer. I have a co-worker that just had total thyroidectomy and 15 lymph nodes removed due to Medullary Thyroid Cancer last Friday. If you sister has MTC you can get checked with a blood test to look for tumor markers. MTC is caused from a gene mutation which makes you high risk due to your sister. They may recommend you have your thyroid removed as a precaution if you test positive for the gene mutation or have high calcitonin levels in your blood.
COMMUNITY LEADER
I'm not an expert at reading U/S reports, but it doesn't look like a lot has changed since the last U/S, except that the left lobe is a little larger than it was. You have a dominant nodule, but there's little change since the last U/S.
Did someone tell you you had to have your thyroid removed?
Your TSH is too high... Is that all that's being tested? What about Free T3 and Free T4? Those are the actual thyroid hormones. TSH fluctuates too much and is not a good indicator of actual thyroid status. Ask your doctor to test Free T3 and Free T4... those will tell you why you feel so badly.
When did they increase your Synthroid dose? It takes 4-6 weeks for a dosage change to take full effect.
Are you supplementing vitamin D? If not, you should be. Vitamin D is necessary for proper metabolism of thyroid hormones.
Have you had vitamin B-12 tested?
Did someone tell you you had to have your thyroid removed?
Your TSH is too high... Is that all that's being tested? What about Free T3 and Free T4? Those are the actual thyroid hormones. TSH fluctuates too much and is not a good indicator of actual thyroid status. Ask your doctor to test Free T3 and Free T4... those will tell you why you feel so badly.
When did they increase your Synthroid dose? It takes 4-6 weeks for a dosage change to take full effect.
Are you supplementing vitamin D? If not, you should be. Vitamin D is necessary for proper metabolism of thyroid hormones.
Have you had vitamin B-12 tested?
1 Comments
I just found out that my sister had MTC thyroid cancer and her thyroid glands were removed and now that on my dads side all his sister had thyroid and issues and two died from thyroid cancer too so now I'm worried my sister started. Like my same ultrasound
COMMUNITY LEADER
Who is telling you you need to have your thyroid taken out? What reason did they give?
Can you give us more information? Such a what lab tests have been done, test results with reference ranges, diagnoses, symptoms, etc...
Can you give us more information? Such a what lab tests have been done, test results with reference ranges, diagnoses, symptoms, etc...
4 Comments
im on synthroid 75mcg they upped my dose having trouble swallowing, feel really weak want be in bed all the time but i cant i have 8 year old triplets. and two older kiddos 20 and 18 year old boy and girl. ive been really moody most of the time. my vit d is never normal always below 14
my cbc is abnormal but some levels are free
can you expain the ultrasound to me is anything getting worse
my stim thyroid my tsh is 5.09
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