Hi,
From what I understand, thyroid nodules are fairly common. I don’t know if having multiple nodules is an indicator of a problem or just a regular part of aging. From what I understand, nodules can come and go without people even knowing they were there. However, if the nodules are large or growing they could signal a problem….not necessarily cancer, just a problem because they can start to impact the structures in the area.
In my opinion, you might want to go to an endocrinologist to assess the situation. If the nodules are very small, they would be hard to biopsy and I was told it is usually not done. If the nodules are large it is good to have a biopsy however, biopsies are not always conclusive, so they can do other testing,
In my opinion, the biopsy does not hurt; some were a little uncomfortable, however they really didn’t hurt. The biopsy seems to be used as a predictor for possible cancer and used to help make decisions.
As for cancer spreading from the biopsy….. I was told I did not qualify for Radiofrequency ablation to shrink a large nodule because the cells had a 50% chance of Hurthle Cell Carcinoma, and could cause the cancer cells to migrate when the needle is removed during the ablation procedure. Following my biopsy to see if I would be a candidate for the ablation procedure, I started having thyroid related issues. (Prior to this procedure, my thyroid was working fine and my only symptoms were related to the large size. )
In my opinion, going to an endocrinologist for a second opinion might make your decision easier. The endocrinologist can run tests that might help make your decision easier.
I was being seen for 10 years for what the doctor thought was a benign nodule that had gotten very large. I did not want to have surgery due to the proximity of the nodule to the laryngeal nerves and concern for voice problems that could affect my ability to work. The doctor thought the nodule was benign, however it was large; and the testing for candidacy for radiofrequency ablation revealed a 50% chance of Hurthle Cell Carcinoma. I had surgery and was diagnosed with Hurthle Cell Carcinoma.
I don’t think you need to worry too much yet. Definitely find an endocrinologist with a background treating cancer and go for a second opinion. I hope this helps!
Good Luck!