Suggest treatment for thyroid nodules
No calcification noted on report
went for doppler and said there was peripheral vascularity and a very small spot inside. does that confirm cancer
About thyroid nodule;
Hello and thank you for asking!
I have gone carefully through your concern.
Thyroid cancer is confirmed only by cytology.
There are some ultrasound characteristics (hypoechogenicity, microcalcifications, high vascularisation, taller than wider) that suggest to do cytology when they are present but ultrasound does not confirm cancer.
When two or more of the above mentioned characteristics are present, the chances to be malignant are higher.
You do have only one, so there is no need to worry.
Anyway, cytology has high sensitivity in diagnosing it.
Hope i have answered your query.
I want to know if you received the ultrasound report, I dont know if it went through.
What doctor said was he had predominately periphiral vascularity and a little spot inside.
Is that a very bad sign?
He has no family history
No radiation exposure
Only morbid obesity which is his doctor's biggest concern.
. Sorry for all the questions, please forgive me. I don't now how I'm going to make it through this week awaiting results. I am such a weak person. My husband is not worried a bit and he says hes just worried about me.
About thyroid nodule;
I have gone through the interpretation of the ultrasound as the images cannot be visualized.
The nodule is not hypoechoic, does not have microcalcifications. These are the 2 most common characteristics suggesting for malignancy.
So, I would say there is no reason to get worried.
You should know that 1 in two individuals has thyroid nodules in a random ultrasound control and only 5% of them are malignant. So, thyroid nodules are very common in the population and the chances of malignancy are relatively low.
Wish him good health. Feel free to ask further.
Is that small area of intranodular vascularity a very bad sign? The doctor said it was mostly peripheral and only a small spot inside, can some benign nodule have small intravascularity.
I cant thank you enough for answering so quickly and precisely. Kids a re home now and I have to do the act of being happy and its so hard.
About thyroid nodules;
I can not understand from the images if it is taller than wider, as I told the images of the ultrasound attached are inconclusive.
Increased vascularity is the last characteristic suggesting for malignancy and usually is diffuse, not only a spot.
You should know that thyroid malignancy has a very good prognosis after thyroidectomy (in difference from other cancers) so even if you think the worse, please do not panic.
Until now the data are not worrisome (no capsular infiltration, no cervical lymph nodes, no more than 2 characteristics suggesting for malignancy).
I can understand that waiting for a cytology result is an extremely anxious situation but it is a routine procedure in our days as the thyroid nodules are very common.
Wish you all the best,
I'm just really scared when I read about medullary and anaplastic types. ARe those common? Im sorry docotr how common are the anaplastic and medullary ones
It is neither Medullary nor anaplastic;
Medullary cancer has a different ultrasound image, microcalcifications are typical for it in ultrasound.
An aplastic is a diffuse cancer not nodulary and is very rare with a rapid enlargement of the gland ( within a few days).
So, do not think about none of them.
Will be a pleasure to help you further;
I am sure everything will be ok. There is no need do get worried in advance in our days, if smth serious is diagnosed than the concern is right, in this case there is really nothing to worry about. The worse thing will be the thyroid gland removal.
Keep me in touch for the result of the FNA.
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