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What Does The Ultrasound Scan Result Indicate?

Posted on Wed, 3 Dec 2014

Question: I have been monitor three thyroid nodules since last year. Results from the most recent ultrasound show that two nodules have shrank at least half in diameter (one shrank from 21mm originally to 10mm, the other shrank from 9mm to 4mm), and another shrank a little bit from 11 mm to 9mm. The radiologist still want me to have all the nodules fine needle aspired, since they contain some high risk feature (one has internal vascularity, the other two has micro-calcification). Should I go ahead with the FNA? Since all my nodules shrank, shouldn't it be a sign of being benign?

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
I suggest you to go for FNAC.

Detailed Answer:
Hello XXXX

I suggest you to go for FNAC.It is always important to exclude malignancy in nodules with vascularity and microcalcifications.
Chances of malignancy are high in nodules with internal vascularity and microcalcifications.

Shrinkage of size of some nodules is a good sign but you can't take risk.

FNAC can exactly assess nature of nodule means whether it is benign or malignant.
It is also important to see enlarged glands in neck.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar