Thyroid nodule, Internal Medicine FAQ - Page 3

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Understanding Thyroid Enlargement: Concerns and Next Steps for Patients

Goiter Hello Dr. Yang: I consulted with Dr. Dong Jin-jia at Taoyuan General Hospital's Internal Medicine Department. The examination revealed that I have an enlarged thyroid gland. I have been taking a medication called Antithyroid for 9 months. For the first 6 months, the s...


Dr. Yang Hongzhi Reply:
Hello: 1. Thyroid enlargement needs to be differentiated as either diffuse goiter (where the entire thyroid gland is enlarged) or thyroid nodules (which may consist of one or more nodules), so the ultrasound results will determine which type it is. 2. Some thyroid enlargements ca...

[Read More] Understanding Thyroid Enlargement: Concerns and Next Steps for Patients


Understanding Thyroid Cysts: Symptoms, Diagnosis, and Treatment

Growths on the neck? There is a thyroid cyst near the right clavicle that varies in size, with ultrasound examination showing solid components that cannot be aspirated. Sometimes it feels swollen and painful, and there is also a sensation of dryness and pain in the throat. I woul...


Dr. Zeng Guosen Reply:
According to the description from netizens, it is likely a thyroid cyst or thyroid nodule. It is recommended to visit an endocrinologist for differential diagnosis.

[Read More] Understanding Thyroid Cysts: Symptoms, Diagnosis, and Treatment


Understanding the Risks and Management of Benign Thyroid Tumors

Follow-up on benign thyroid tumors? Hello Doctor: I have a benign thyroid nodule on the right side of my neck (approximately 1.5 cm; it feels round to the touch) that has been monitored at Linkou Chang Gung Memorial Hospital for five years. I undergo fine needle aspiration (FNA) ...


Dr. Yang Hongzhi Reply:
If the follow-up has been for 5 years and the biopsy results have consistently been benign, the likelihood of malignancy is low. A higher number of cells in the biopsy does not necessarily indicate an increased chance of malignancy; other factors must also be considered. Currentl...

[Read More] Understanding the Risks and Management of Benign Thyroid Tumors


Understanding Thyroid Nodules: Causes, Monitoring, and Management Tips

Thyroid enlargement Hello, I recently went to the hospital for a thyroid examination. The doctor told me that my blood tests were normal and the biopsy results were also normal. However, I am still unsure about the cause, as the doctor mentioned it might be an autoimmune issue. H...


Dr. Yang Hongzhi Reply:
There are many possible causes of thyroid enlargement, with autoimmune issues being a common reason. In many cases, the cause of thyroid enlargement cannot be identified. General recommendations include avoiding high-iodine foods, monitoring for symptoms of thyroid dysfunction, a...

[Read More] Understanding Thyroid Nodules: Causes, Monitoring, and Management Tips


Understanding Thyroid Ultrasound Findings and Cytology Testing Options

Cytological examination On the evening of July 20, 1995, a lump suddenly appeared in the neck after taking a shower. Blood tests, including TSH, were normal, and an ultrasound examination determined it to be thyroid hemorrhage. The patient was prescribed half a tablet of Eltroxin...


Dr. Guo Mingxun Reply:
1. Ultrasound examination can reveal the density of different tissues, allowing for differentiation between fluid and thyroid tissue based on their varying densities. By assessing the different densities of thyroid tumors, surrounding tissues, and hematomas, one can evaluate the ...

[Read More] Understanding Thyroid Ultrasound Findings and Cytology Testing Options


Differentiating Plummer's Disease from Thyroiditis: A Patient's Guide

Plummer's disease and thyroiditis? How can I differentiate between thyroiditis and Plummer's disease? I discovered I had thyroid enlargement during a health check-up. In late May, I visited a doctor who tested my FT4 levels and said they were normal. An ultrasound indic...


Dr. Yang Hongzhi Reply:
Thyroid nodules associated with hyperthyroidism (Plummer's disease) can generally be treated with radioactive iodine or surgery. If the patient is unwilling to accept these options, medication treatment is also a viable alternative.

[Read More] Differentiating Plummer's Disease from Thyroiditis: A Patient's Guide


Understanding Thyroid Nodules: Risks, Diet, and Inheritance

Thyroid nodule My mother has a thyroid nodule, and the doctor said it is benign. I would like to ask if it can become malignant. What dietary precautions should be taken to prevent it from becoming malignant? Can thyroid nodules be hereditary? Thank you, doctor.


Dr. Yang Hongzhi Reply:
It was originally thought to be a benign nodule, but a small percentage may eventually be diagnosed as malignant tumors. Diet is likely not significantly related to malignant transformation, and thyroid diseases have a hereditary tendency.

[Read More] Understanding Thyroid Nodules: Risks, Diet, and Inheritance


Understanding Thyroid Nodules: Diagnosis, Treatment, and Symptoms Explained

Thyroid nodule Hello Dr. Yang: At the beginning of October, I visited a nearby hospital due to discomfort in my neck and underwent tests for my thyroid. The blood tests showed normal function, but an ultrasound revealed the presence of thyroid nodules. The doctor mentioned that t...


Dr. Yang Hongzhi Reply:
In most cases, the size of the thyroid should not change significantly within a month. Discomfort in the neck is a common symptom, and many individuals do not show any abnormalities upon examination. If there are concerns, it is usually sufficient to follow up with routine checks...

[Read More] Understanding Thyroid Nodules: Diagnosis, Treatment, and Symptoms Explained


Understanding Throat Nodules: Treatment Options and Causes Explained

Could you please provide more details or specify your question? Hello doctor, my father is 49 years old and has developed small nodules in his throat, experiencing palpitations and chest tightness. He has lost 6 kilograms. 1. I would like to ask if the small nodules in his thro...


Dr. Yang Hongzhi Reply:
The likelihood of needing surgery for small nodules in the throat is generally low. Medication usually has limited effectiveness. Whether treatment is necessary should be discussed further with a physician. If it is a thyroid nodule, a biopsy is typically required to determine th...

[Read More] Understanding Throat Nodules: Treatment Options and Causes Explained


Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips

Thyroid cysts? Hello Dr. Yang, I would like to ask you about a thyroid issue. Recently, I visited a dermatologist due to long-term hair loss, and after a blood test, it was found that my thyroid T4 level is low (0.87). I also have significant iron deficiency anemia, so I was ref...


Dr. Yang Hongzhi Reply:
Thyroid nodules are common incidental findings on ultrasound. Most of them do not affect health and do not require treatment; however, it cannot be ruled out that they may grow, and a small percentage may have malignant potential. Therefore, monitoring is necessary. Currently, th...

[Read More] Understanding Thyroid Cysts: Causes, Health Impacts, and Management Tips


Understanding Thyroid Nodules: Risks, Surgery, and Hormonal Impact

Thyroid nodule Hello, Dr. Yang! I would like to ask you: I have discovered a thyroid nodule near my trachea on the right side of my neck for three years. The size of this nodule remained unchanged for the first two years (1x1 cm), but this year it was found to have suddenly incre...


Dr. Yang Hongzhi Reply:
1. Generally, a total thyroidectomy of the right lobe is performed. 2. General anesthesia is typically used. 3. There should be no interrelationship. 4. Most patients with thyroid nodules have normal thyroid function.

[Read More] Understanding Thyroid Nodules: Risks, Surgery, and Hormonal Impact


Understanding Thyroid Nodules and High Triglycerides: What You Need to Know

There are 0.7 cm cysts on both sides of the thyroid gland? Hello, my husband recently received his health check report indicating that his triglyceride levels are elevated. Additionally, there are small nodules approximately 0.5 and 0.7 cm on both sides of his neck's thyroid...


Dr. Zhao Chongliang Reply:
The causes of thyroid cysts include poor blood circulation leading to degenerative changes within the gland, bacterial or viral infections, inflammation (such as chronic thyroiditis), or suppuration. The contents are typically colorless and clear. If there is a rupture of blood v...

[Read More] Understanding Thyroid Nodules and High Triglycerides: What You Need to Know


Managing Hypothyroidism: Addressing Weight Gain and Hormonal Imbalances

Hypothyroidism Hello, I underwent thyroid nodule surgery in 1999, and a year later, I developed anemia. Since then, I have been taking iron supplements and thyroid hormone. After a few months, I developed acne on my chin, and upon re-evaluation at the hospital, it was found that ...


Dr. Yang Hongzhi Reply:
Obvious hypothyroidism can lead to conditions such as anemia, weight gain, and elevated prolactin levels. If these issues are primarily caused by this factor, supplementing with thyroid hormones should improve these conditions. However, if there is no improvement after normalizin...

[Read More] Managing Hypothyroidism: Addressing Weight Gain and Hormonal Imbalances


Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips

Thyroid tumor Dear Dr. Tseng, (1) What are the differences between hyperthyroidism, thyroid tumors, and thyroid nodules? Why do thyroid tumors occur? (Currently, I work during the day and attend classes at night, often going to bed around 1 or 2 AM, and I frequently feel a lot o...


Dr. Zeng Fenyu Reply:
Hello, Miss Yajin: For benign thyroid tumors, doctors may prescribe thyroid hormones to provide feedback inhibition to help reduce the size of the tumor. Generally, tumors smaller than 1 cm have a higher chance of disappearing. If the patient does not take the medication or if th...

[Read More] Understanding Thyroid Tumors: Causes, Treatments, and Lifestyle Tips


Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns

Thyroid nodule Hello Dr. Tseng, I have been experiencing symptoms such as hand tremors, palpitations, and a sensation of pressure in my neck. Sometimes, I also have difficulty breathing and wheezing. I previously consulted a doctor, who performed blood tests and an ultrasound, ...


Dr. Zeng Fenyu Reply:
Dear Miss Yi-Jun, Thank you very much for your letter. Regarding your questions, my responses are as follows: 1. The indications for surgery on thyroid nodules are as follows: (1) When the nodule is too large and compresses the trachea. (2) When there is suspicion of mali...

[Read More] Understanding Thyroid Nodules: Symptoms, Treatment, and Dietary Concerns


Understanding Alcohol Treatment for Benign Thyroid Nodules

Thyroid nodule swelling. Please respond as soon as possible. Thank you! Hello: I have a thyroid nodule, which is classified as a benign tumor. I have been on medication for over six months and have been off medication for six months now. My attending physician is considering usin...


Dr. Zeng Fenyu Reply:
Alcohol ablation is one of the treatment methods for thyroid nodules. Since your letter did not provide detailed information about your condition, I am unable to give a comprehensive response. I recommend discussing this with your attending physician and following their guidance.

[Read More] Understanding Alcohol Treatment for Benign Thyroid Nodules


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