Is my nodule benign?
Last year I had a right sided hemithyroidectomy due to follicular variant papillary cancer and papillary cancer. Now an ultrasound of the left lobe is showing a 1.9cm nodule with microcalcifications, nodular vascularity, hypoechoic and slightly irregular margins. What are the chances of this being benign???ĺ
Or are all the red flag signs there??
I'm desperate for any advice
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@aoife
I had my right lobe removed in 2022 due to 2.5cm suspicious nodule (had ultrasound and fine needle aspiration). It was causing swallowing and speaking issues. I need to monitor my left lobe due to a large macro calcification.
Have you had the left lobe biopsied? How long have you had the nodule on your left (was it there when you had your right lobe removed)? If it wasn’t there last year when they did the right side, it has grown fairly quickly and would be suspicious to me. Thyroid nodules usually grow slowly over time.
Did they remove lymph nodes last year? Do you know why they didn’t remove your full thyroid last year when they found the 2 cancers on the right? My sister was 26 when she found a nodule and they removed only half of her thyroid and when they realized it was cancerous, they had to go back in to remove the other lobe.
Here is what AI summarized:
“ I'm not a doctor, but I can provide some general information about thyroid nodules and the factors that may indicate whether they are benign or malignant.
Factors to Consider
Nodule Characteristics:
Size: Nodules larger than 1 cm are often evaluated more closely.
Microcalcifications: The presence of microcalcifications can be a concerning sign.
Vascularity: Increased blood flow (nodular vascularity) can also raise suspicion.
Margins: Irregular margins are often associated with malignancy.
History of Thyroid Cancer: Given your history of follicular variant papillary cancer, there may be a higher level of concern for any new nodules.
Ultrasound Findings: The combination of hypoechoic appearance, irregular margins, and microcalcifications are often considered "red flags" in the evaluation of thyroid nodules.
Next Steps
Fine Needle Aspiration (FNA): Your healthcare provider may recommend a biopsy to determine whether the nodule is benign or malignant.
Follow-Up: Regular monitoring with ultrasound may also be suggested, depending on the characteristics of the nodule and your overall health.
Conclusion
While some nodules with similar characteristics can be benign, the signs you've described may warrant further investigation. It's essential to discuss your concerns and the next steps with your healthcare provider, who can provide personalized advice based on your medical history and the specific ultrasound findings.”
Thank you so much for replying. I really really appreciate it. I only had one lobe removed because they said the 2 cancerous nodules were fully encapsulated. Ultrasound last yea in may, sept and December also showed 5 nodules on the left lobe but they had no suspicious features. The largest at that time was 1.25 x 1.15cm and now it is 1.92 x 1.27cm and also has all of the features I
mentioned above. The thyroid lobe has also doubled in size. I think I'm maybe just trying to be optimistic but I suppose it's not looking good, is it. The report also says there's a borderline bulky lymph node in the anterior triangle. I went and arranged the most recent Ultrasound myself because trying to get the hospital here to answer you is a joke. I've now to wait and hope they arrange a biopsy and don't leave me waiting for months
Hi. I suggest you request a biopsy and not wait for the team. They have busy days, etc. We all must advocate for our own health and insist when needed.
Take care. Virtual hug.
Thank you. I'm waiting back to hear from the hospital