Nodules

[lwood383]

Endocrinologist found 1 dime size nodule and 1 just under that size on the right side of my thyroid after a ultrasound. Is it normal for a doctor to wait 6 months to do another ultrasound for growth? These were found during a chest xray for pneumonia.

[Mark Lupo, M.D.]

Not sure why the forum is closed to new questions -- will answer this one and see what happens, but not able to weed through all the threads to address add-on questions.

The thyroid function is completely normal according to labs - so general symptoms and BP can not be attributed to thyroid.  A nuclear scan is not indicated on basis of blood tests.

You mentioned follicular adenoma - this is a surgical diagnosis, not an FNA diagnosis.  Would recommend FNA of the 2.8cm nodule and confirmation FNA of the 3.4cm nodule.  Ultrasound follow-up is recommended at 6 months - 12 months.

[Juliamom]

I have two follicular adenomas, 1 the dominant nodule, is 3.4 cm and the other is 2.8 cm.  There are other small growths around the smaller nodule on the right.  The whole thyroid is enlarged, antibodies are 12.  T4 is l.9, tSH is 1.99.  I have had on again off again hyper symptoms with blood pressure surges to l80/110, and pulse over 100, anxiety, sweating, PVC;s.  The dominant nodule was biopsied, but I don't know if it is overfunctioning.  The endocrinologist thinks that the only thing I need from now on is for my GP to check free T4 and TSH yearly.
Shouldn't I have a scan and some additional blood tests, possible biopsies and a U.S. followup
on size of nodules?  Thank you.

[Mark Lupo, M.D.]

If the nodules fell below criteria for FNA biopsy, then 6 month re-evaluation is appropriate.