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Complex Cyst - Very Scared

I went to the doctor 3 weeks ago complaining of sensitivity to cold, fatigue, ringing in ears and general achiness.  I also have dry skin which I noticed after the doctor’s appointment.  She felt my thyroid and said it was slightly enlarged and ran all the blood work up on me.  The doc called me back and said all my blood work was in range. I am not sure what T3 and T4 are, or if she ran them.  I do have something on my report that say test 3 and test 4 so maybe that is it.  My LDL is 103, so it is 3 above what it should be.  All the rest of my Test 3 is within range.  My Test 4 states that the results were not dispersed into the flow sheet, so I have to call the doc tomorrow and see what that means.  My TSH is 1.916.  When I asked my doctor why my thyroid was swollen she stated she could send me for an ultra sound.  My last day of insurance was Monday I went and got the ultrasound now I have scary results and no insurance.  The report states

Findings:  Slightly enlarged right thyroid lobe of 5.2 x 1.6 x 1.3 cm.  The left lobe is within normal of 4 x 1.6 x 1.1 cm.  Small, complex cysts are noted within the right thyroids lobe, the largest in the lower pole measures 7 x 5 x 4 mm, with large focus of calcification.  No internal vascularity.  Additional, smaller cystic structure noted in the middle pole measures 5 x 5 x 4 mm, with minimal internal echoes could represent debris of colloid cyst.  Further more in the upper pole, complex cystic nodule of 6 x 7 x 4 mm with internal focus of calcification observed.  Doppler interrogation employed and revealed no internal vascularity appreciated.  The isthmus is within normal, measuring 3.7 mm.  Homogeneous echo texture of the left thyroid lobe.  

Impression: Slightly enlarged right thyroid lobe, with multiple cystic foci, probably represent colloid cyst, the largest in the lower pole with internal calcification.  Consider follow up in 6-12 months. Correlate with Thyroid function test.

My questions.  What is the isthmus, and what is homogeneous echo texture.  I know what a cystic nodule is and it seems from what I read these are the most likely to have cancer.  So why is the recommendation that I just follow up in 6-12 months.  Also I have read women say they felt their best with TSH levels of 1 to 1.5, could I have Hypothyroid with the levels just not going over the range.  What are the chances I have cancer.  I am freaking out I have 2 girls and just had a little boy 9 weeks ago.  This is putting my anxiety level over the top.  What does the above report mean in a nutshell in layman's  terms.  Is there anything I can do naturally to help my thyroid and health until I can get insurance to get rechecked.  

Sorry so many questions, thank you so much in advance.
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Avatar universal
898
"Wilson’s (temperature) syndrome, also called Wilson’s thyroid syndrome or WTS, is a form of low thyroid function whose existence is controversial.

Wilson’s syndrome entered the health marketplace in 1990, when E. Denis Wilson, M.D., of Longwood, Florida, coined its name. Proponents say its manifestations include symptoms typical of low thyroid function such as fatigue, headaches, PMS, hair loss, irritability, fluid retention, depression, decreased memory, low sex drive, unhealthy nails, easy weight gain, and about sixty other symptoms. Wilson says that WTS can cause “virtually every symptom known to man.” He also says that it is “the most common of all chronic ailments and probably takes a greater toll on society than any other medical condition.”[citation needed]

Wilson says the condition can be reversible and that people can have it even when their routine thyroid blood tests are normal. He states that the condition is "especially brought on by stress" and can persist after the stress has passed. He says that the main diagnostic sign is a body temperature that averages below 98.6° F (oral), and that the diagnosis is confirmed if the patient responds to treatment with a "special thyroid hormone treatment" (the WT3 protocol in the Doctor’s Manual written by Dr. Wilson).

According to Dr Wilson,[1] if your body temperature is routinely below 98.2ºF, you should be tested for the familiar thyroid problems using the thyroid stimulating hormone (TSH) test. However if your body temperature is low and the test is normal, you may have Wilson's Temperature Syndrome.

The American Thyroid Association (ATA) disagrees. On May 24, 2005, the ATA issued this Updated Statement on "Wilson's Syndrome" which said in part: "The ATA's thorough review of the biomedical literature has found no scientific evidence supporting the existence of "Wilson's Syndrome." [2]

Dr. Wilson’s rebuttal to the ATA statement can be found on the WilsonsSyndrome.com website. [3]

In March of 2006 an article on the WT3 protocol for Wilson’s Temperature Syndrome was published on PubMed. [4]"
From Wikipedia

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Avatar universal
Thank you guys so much for the feedback. I just have a huge fear of death as it is, although I am sure we all do.  I am just really scared.  It is good that no internal vascularity usually means it is non cancerous.  I am going to start walking every day and try to eat better and take my prenatal vitamins which I stopped taking.  I am hoping this just has to do with how stressed and warn down I have been after having my baby.  Did something on the report note that the nodule was highly moveable, I didn’t see that on my report, but didn’t know if it was in doctor’s terminology which I so don’t understand. I will get a low fluoride toothpaste.  I really do appreciate the feedback from both of you.  I am going to try to post for the doctor on here, but every time I have tried, it states the questions limit has been reached for the day.  I also wonder if I have Wilson’s Temperature Syndrome, not sure if either one of you heard of that, but my temperature averages in the 97 range every day.  Thanks again.
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Avatar universal
898
No internal vascularity means the nodule is most likely NON cancerous.
Highly moveable cystic nodule is NOT cancerous either.
Solid fixed nodule is one that cancerous.
The isthmus is the bridge between two thyroid lobes in front of the neck , below the voice box
The homogeneous echo texture meansuniform cell distribution, no pathological cells.
You could have condition called post-partum thyroiditis.
The fluoridated toothpaste  is believed to impair thyroid function; try to use low-fluoride toothpaste.
AACE recommends to do a thyroid neck check self test to monitor any increase of swelling.
Hope that helps.
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398849 tn?1210135972
I am sorry you are so stressed out but please do not be so worried and it is not usually cancer. If they thought it was cancerous on would assume they would  have asked to have more test now not in 6-12 months time. If you do not understand your report ring your doctor and ask them to explain it for you so that you fully understand what is going on after all that is what they are paid for. Do not feel embarrassed or uncomfortable asking all the questions you need to to feel comfortable with their decision to follow up in 6-12 months. You can also ask the doctor on this website but I would most definately ring the doctor who did your tests. bestest
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