Aa
A
A
A
Close
Thyroid Disorders Community
26k Members
Avatar universal

Hashimotos and nodules

Is it common to have nodules with Hashimoto's? I was recently diagnosed with a nodule that came suspicious in biopsy done by ENT doctor. I went to an endo to get a second opinion and he diagnosed me with Hashimotos because of antibodies in blood. He does not think that I need to repeat FNA or go through surgery. Should I get a third opinion?
4 Responses
Avatar universal
The long standing [and unnoticed] Hashimoto's disease leads to nodule formation.
I would suggest the experienced pathologist to review the biopsy report.
Avatar universal
Thanks 898. The endo to whom I went for 2nd opinion did some blood tests and does not think we need to repeat FNA. FNA came suspicious but it was not done with ultrasound guidance nor was sent to a cystologist. I am just wondering if should go for a 3rd opinion or I can trust the 2nd opinion guy and breathe easy?
Avatar universal
The correct procedure for nodule evaluation of the thyroid is as follows:
a]ultrasound is done to determine size, borders, type[solid complex or cystic] and number of nodules.
b]Any nodule with increased vascularity or complex must undergo biopsy WITH ultrasound to take sample from the right place;
c] if the suspicios biopsy from the nodule with irregular borders surgery may be a good choice.
Jumping such steps may cause unnecessary surgery or may miss the early signs of malignacy where complete thyroid removal would be necessary.
Conclusion: get someone else look on your nodule.
The decision for treatment is mainly based on the patient's 'vote' and doctor's recommendation. There is no excuse to skip diagnostic steps or make them using 28-years ago approach.
Avatar universal
Thanks 898. I saw another endo today who is sending me to a radiologist who will do US guided biopsy and they also send the labs to one of the best cyto labs in my area. I feel more comfortable now.
Have an Answer?
Top Thyroid Answerers
649848 tn?1534637300
FL
Avatar universal
MI
1756321 tn?1547098925
Queensland, Australia
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
Smoking substitute may not provide such a healthy swap, after all.
How to lower your heart attack risk.
Trying to lose weight? Grab a snack that works with your diet, not against it. Check out these delicious, slimming foods.
Trying to lose weight? Grab a snack that works with your diet, not against it. Check out these delicious, slimming foods.