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What Do Cysts On The Thyroid Indicate?

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Posted on Thu, 15 Jun 2017
Question: mY SON IS 21 YRS OLD AND HE HAS MULTIPLE CYSTS ON THE RIGHT THYROID (6, 9 AND 19 MM) THERE ARE ALSO SMALLER 3MM CYSTS,,,ON THE LEFT SIDE ARE 3,7 AND 8 MM CYSTS WITH ALSO SMALLER ONES OF 3 MM. A 7 MM NONCUSTIC NODULE INVOLVES THE THYROID ISTHMUS ON THE LEFT.HIS THYROID IS NORMAL SIZED GLAND WITHOUT THYROMEGALY. HOW TO UNDERSTAND THI SAND WHAT WOULD BE THE NEXT STEP. CONSIRNED MOTHER.THANK YOU
doctor
Answered by Dr. Mirjeta Guni (55 minutes later)
Brief Answer:
About thyroid nodules;

Detailed Answer:
Hello and thank you for asking!
I can understand your concern regarding to your son's health.
Ultrasound of the thyroid gland gives very useful information regarding to nodule's characteristics.
If they have pure cystic nature than they are considered benign and the next step would be the evaluation of the thyroid function ( TSH level).
If one of them has 2 or more suspicious characteristics in ultrasound (irregular borders, high vascularisation, hypoechogen, microcalcification, taller than wider)TSH level and than Fine needle aspiration is recommended.
As you described, they seem to be cysts ( except to one in istmus that is not described further) there is no need to get worried.
Anyway, your physician will guide you further having into consideration the physical examination history of the disease, family predisposition ect.
Hope the information will help.
Kind regards,
Dr.Mirjeta


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mirjeta Guni (27 minutes later)
Thank you.

Will this cysts go away or will stay there?
is it normal to have so many cysts?
doctor
Answered by Dr. Mirjeta Guni (5 minutes later)
Brief Answer:
About thyroid nodules;

Detailed Answer:
Welcome back,
At this age they may shrink or disappear with levothyroxine therapy ( if the thyroid hormones are within the normal level).
Usually there is a genetical predisposition for cysts or nodules in the thyroid gland.
Probably you/ your husband or other ancestors have nodular goiter.
Nodules are very common in the general population, 1 in 2 persons have nodules in ultrasound.
So, ia not a rare pathology.
Will be a pleasure to help you further.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mirjeta Guni (41 hours later)
Hello,
another question:

can this cause dry cough and shortness of breath?
THANK YOU SO MUCH!
doctor
Answered by Dr. Mirjeta Guni (10 minutes later)
Brief Answer:
Check the thyroid function:

Detailed Answer:
Welcome back,
The thyroid gland volume is not increased and the nodules are to small to compress the trachea and cause cough or shortness of breath.
Anyway the thyroid function should be checked to rule out on over active thyroid that may cause tachychardia and shortness of breath due to it.
Wish him good health.
Kind regards,
Dr.Mirjeta
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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What Do Cysts On The Thyroid Indicate?

Brief Answer: About thyroid nodules; Detailed Answer: Hello and thank you for asking! I can understand your concern regarding to your son's health. Ultrasound of the thyroid gland gives very useful information regarding to nodule's characteristics. If they have pure cystic nature than they are considered benign and the next step would be the evaluation of the thyroid function ( TSH level). If one of them has 2 or more suspicious characteristics in ultrasound (irregular borders, high vascularisation, hypoechogen, microcalcification, taller than wider)TSH level and than Fine needle aspiration is recommended. As you described, they seem to be cysts ( except to one in istmus that is not described further) there is no need to get worried. Anyway, your physician will guide you further having into consideration the physical examination history of the disease, family predisposition ect. Hope the information will help. Kind regards, Dr.Mirjeta