Thyroid Nodule/Cyst

[siam2009]

I saw my ENT on 12/6 who recommended FNA....good thing..pre-biopsy US found a missed ill defined nodule measuring 2.4x1 cm in lower right pole..3 passes through 2 nodules and 1 cyst (which did not decompress) a solid cyst?, pathology came back benign...see ENT again on 1/17...do you think he will recommend watching ill defined nodule and have another biopsy done 3-6 months?  I know ill defined is not good and am worried even though everything is ok right now...Thanks!

[Mark Lupo, M.D.]

"ill-defined" can sometimes mean suspicious nodule but in the right lower pole can also be due to hashimoto's thyroiditis -- would correlate w/ TPO and Tg antibodies as well as TSH.  If that's all normal and this is truly a potentially suspicious nodule on ultrasound, then a repeat FNA to confirm benign may be appropriate.

[siam2009]

Hi Dr. Lupo, got results back from antibody test - negative they said...should I still be worried about 2.4x1 cm nodule in lower right pole..any quest. I should be asking my ENT?  My tsh reflex is 0.31 pcp says very low "normal" but I've lost 17 lbs in 1 month, racing heart at times, don't sleep very well (maybe 3-4 hours of good sleep)...pcp says maybe I'm low end of hyperthyroid?  Very confused and still worried about that nodule..any advice..thanks again..

[siam2009]

Thank you, I will talk with my ENT regarding some additional blood work.