Nontoxic nodular goiter Puns

Ive had this for awhile now. Due to covid I stop getting tests. It feels bigger lately and it hurts a bit. Im very worried I need a thyroidectomy. I have very bad doctors here in Minnesota. My voice getting damaged will destroy me. I know it will. Is there any people out there that use there voice for a living that had a thyroidectomy. Radio host, voice actor, Telemarketer.

Hi! I recently underwent ultrasound which discovered 3 TiRads-3 nodules on my thyroid. It also noted my tissue was heterogenous and highly vascular. Two nodules are in my left lobe (1.5cm on the mid pole and 1.3cm in the lower lobe) but the largest (>3.5cm) is right on my isthmus pressing into my trachea. FNA was done only on the isthmus nodule and came back benign but did not biopsy the other two despite meeting criteria (my endo was pissed they didn’t but said odds are that they are also benign). The isthmus module is causing obstructive symptoms (feel like a lump is in my throat, choking/gagging sensations, harder to breath laying down). All my lab work was normal, including negative for thyroid peroxide antibodies. My endocrinologist referred me to a surgeon due to the obstructive symptoms and he mentioned I had a choice of either just having my isthmus removed or having my left lobe and the isthmus removed. He said if I kept the lobe, I would need frequent monitoring for a decade due to the moderate risk lesions and have a slightly increased risk of cancer due to the diagnosis of nontoxic multi-nodular goiter. He said if I have the lobe removed, I’m at high risk of hypothyroidism. My uncle whose a doctor recommended the lobe and the isthmus removed. I’m curious if folks have been in this boat before and if so, what course of action you underwent? Any questions I should ask my surgeon? Thank you!!

I can't seem to figure out if these are actually the same entity -- it differs from source to source. Does anyone know the answer? A massive thank you!!

Background:

• December 2015 Dx as borderline hyperthyroid (TSH: <0.1, T3: 187ng/dL, T4 and FT4 in the normal range)
• January 2016, TSI index normal ruling out Graves'
• May 2016 ultrasound identified a 2.5cm nodule with an incidental finding of complete left lobe agenesis. These findings were confirmed by an I123 scan. FNA revealed normal thyroid tissue.

Outside of a slightly elevated pulse (~75-80 resting versus lower 60s) I have no other symptoms.

Endo is giving me the choice between medication, RAI or thyroidectomy. He sees medication as a temporary solution, with ablation or surgery an eventuality. I'd rather get it over with, and am considering the latter two options. I'm 40, in excellent health, work full time, enjoy a regular exercise routine, and have two small children. I've done due diligence on the surgeon I'd have, should I choose that option, and she is both seasoned and highly recommended. As my endocrinologist explains it, I'm young and healthy enough to tolerate either option, though isolation from my children may be a challenge. And, as I understand it, either way I am looking at levothyroxine treatment. I've read that levothyroxine dosing can sometimes be easier in individuals with no functioning thyroid rather than those with some functioning thyroid remaining, is this true? My gut reaction is to go with surgery though I'd like a sanity check to ensure I'm making a data-driven decision rather than an emotional one. I'm a cancer researcher and am constantly thinking about the dangers of dividing cells, or picking up that second or third mutation that can cause a malignancy -- I think that we as a group tend to be of the "if it's growing and it shouldn't be, cut it out" mentality without appreciating all of the other clinical positives and negatives that go along with such decisions. It's also not clear to me whether a complete ablation is recommended or simply trying to eradicate some of the tissue (is there any truth to it being easier to manage synthetic hormone levels in the absence of any working thyroid tissue?). I also read that RAI carries a minuscule risk of a secondary cancer developing much later down the line. It means something to my psychologically to not have that lurking even in my deepest subconscious. Practically, I don't really care about a scar, and actually a week alone in a cabin in the woods sounds rather nice.

Any endocrinologists with thoughts on one choice or another? Mine didn't blink when

At the end of last year(2014), I started going to a new doctor and went in for a general check up/physical. During the physical the doctor noticed that my thyroid was enlarged, which I wasn't really aware of before, and referred me to the hospital to get some blood labs and an ultra sound.

The blood work came back normal, my TSH level was .71(kinda low?). The ultra sound results showed that thyroid was enlarged and I had 5 nodules in the right lobe(the biggest being 5.2cm) and 6 nodules in the left side(biggest 2.8 cm). They performed a FNA biosopy on the right lobe and fortunately it came back negative. Went to the Endocrinologist and he told me to keep an eye on it and come back in a year for a followup.

Fast forward to last month and I noticed that my thyroid felt and looked a lot bigger and was also sore on top being tight and uncomfortable. The change seemed to happen very quickly, which freaked me so I went ahead and got the blood work and ultra sound done and went back to the endocrinologist. He told me the blood work was fine, but the multi-nodular goiter has grown about 1 cm on both lobes and my two options of treatment are either get the left side biopsied or total thyroidectomy. He seemed to lean towards the TT option so I went and ahead and scheduled an appointment with the surgeon for next Wednesday.

As far as symptoms go, I have that uncomfortable tightness in my neck. My neck looks big but I don't have trouble swallowing or breathing yet. I didn't get the extensive blood tests done but I do have some Hypo symptoms. I'm currently treating depression. I have somewhat low energy. Gained 20 pounds over the last year. However, these symptoms can all be attributed to quitting drinking a year and a half ago too. I also have noticed my hair has been thinning over the past year.

If anyone has any advice, I could use it. The surgery and having to take medication for life is a very scary thing. I can't decide whether this is something I should just go ahead and take care of now or postpone the surgery and just get the biopsy and followups. Thanks.

Table salt is fortified with iodine because many areas don't have enough in their ground water. As people replace table salt with sea salt, are they putting themselves at risk or are our diets varied enough that the iodine in salt is superfluous?

I'm a 31F who's acne was FINALLY starting to die down. I had to have thyroid removal in July due to large growths on both sides of my thyroid (non cancerous) and since my surgery I have acne again. It's not as severe as when I was a teenager, I don't often get blackheads, but I get 5+ large, tender, nodular style zits at a time. Mostly on my jaw line and neck, but sometimes on my forehead, cheeks and back. I've tried exfoliating, proactive made my skin way too dry, I've tried various otc treatments and cleansers. I make sure to use oil free moisturizer. They're driving me crazy. They don't pop like normal zits. They're just swollen and red and I have to treat them until they dry up. Any reccomendations?

Age: 35

Sex: F

Height: 168 cm

Weight: 58 kg

Race: Caucasian (Scandinavian)

Duration of complaint: Incidental finding on a CT scan in September 2021.

Location: Sweden

Any existing relevant medical issues: Complex, congenital heart defect. Have had five open heart surgeries and an unknown number of CT's and regular chest X-rays + radioactive contrast mediums. I guess around 60 if I count 3 per surgery + 1 every year of my life + extra scans in total. I've also had many head, neck, abdomen and spine CT's due to neurological issues after surgeries, as well as head/neck trauma & having scoliosis. I'd guess the total number is around 90.

Current medications: Metoprolol 50 mg/day, Escitalopram 20 mg/day and Elvanse (Vyvanse) 40 to 60 mg/day.

In September, I had a CT angiogram for another reason (suspected TIA due to sudden numbness in right side of face). They didn't find any evidence of stenotic vessels, though they did find a 7 mm nodular parenchymal lesion in my right lung; dorsal to the central parts of the right main bronchus in the right lower lobe. I got a follow up CT scan booked in March which I understand is standard protocol for any new lesions <8 mm for people over 35. According to that protocol, I'm considered very low risk for cancer because I'm "young" and a non-smoker. However - they don't take into account that I've had an unknown number of CT's and X-rays, starting 35 years ago (head, neck, chest, abdomen, back, hip et.c.)

They never discussed the finding in person with me, just sent me a letter where my GP basically said that "it's just protocol, you don't smoke and you're only 35 so don't worry about it".

However, a study was published a few years ago that concluded that people with congenital heart defects (and especially those with conotruncal defects, like I have) do have an increased risk for developing various forms of cancer before the age of 41.

So. I've now waited 4.5 months for my follow up scan, and I have 1.5 months left until I get it. If the lesion had been 1 mm larger, I would have got a fast track cancer screening. Do you think I should have got the fast track screening due to my history of radiation exposure? If it turns out to have increased in mass/be malignant, is there a risk that it will be too late to do something because I've waited so long?

I can’t stop looking at Robins thyroid. I think she has a goiter and should get that checked out.

I just finished triple therapy, I can't tell if it improved my symptoms ( my only symptom was pain around belly button and sometimes pain in center of stomach between belly button and ribs).

After the therapy I still get intermittent pain around my belly button.

Is belly button pain common in h pylori?

I (17f) received my official diagnoses yesterday of what type of Hodgkin's I have and a PET scan is scheduled in two weeks to learn about staging but I believe I'm either 1a or 2a. My particular type of Hodgkins is pretty rare and even weirder because of my age and that i'm a girl. I read that it's about 1/million per year with 3/4 being male and the age range commonly being 30 to 50. Super weird. I probably won't have to have any chemo because this is very non-aggressive and slow growth which I'm super happy for! My doctor spoke of only radiation for my treatment. Has anyone else had this particular type and can tell me more?

I am 31M. I am very physically active, do not drink/smoke. I have two benign nodules in my thyroid. One is relatively small at 0.7x0.9x 1.1 cm.

The other is a hardened goiter at 4.9 x 4.3 x 5.4 cm

The endocrinologist wants to remove half of my thyroid but I am unsure what the consequences will be.

Here are my test levels:

TSH 3

TBO negative (??)

Blood Calcium 9.3 / Albumin 4.6

So given my TSH — if I get this thing removed, will I have to take hormonal pills to make up for it? Or is there no way of knowing that??

Also, for those who have had a goiter removed, is there anything you have found to prevent future nodule growth? I am uneasy with the simple explanation that “this is just genetic.” It has lead me to much paranoia about my diet (honestly really clean already) and what I consume.

Also maybe this is a weird question But if I chop off half of my thyroid and my hormones get messed up - am I going to go bald ? I have a full head of hair and I’m just kind of paranoid about that as a possibility

Any advice is really appreciated

REDUCE is the first and most important step in reduce-reuse-recycle. This is a very easy way to cut out the first piece of plastic you use for 2 seconds and immediately toss every morning.

I grew up with very clear skin in high school and thought I’d gotten lucky in the skin genetics department but it seems I had only delayed the inevitable. Now that I’m 20 (F) it’s been several months since I’ve felt comfortable in my own skin, not just looks but literally comfortable and pain free. I have dry/ combo skin and most topicals leave me with dry patches and no progress since just about every pimple comes in the form of deep, hard lumps. Mostly along my hair line, chin/jaw, and occasionally smack in the middle of my forehead.

I have tried patches, ice, had antibiotics for other infections that made no difference, and wash my face on a set routine (cetaphil dry/ normal wash and cetaphil oil free moisturizer). I drink loads of water as well and simply cannot find a cause nor solution to these deep, irritated, and painful bumps. Any advice would be helpful as there seems to be limited help for deep pimples online. This is not a severe case however I would still do anything to have my clear skin back.

Hello, do you think that coffee, chocolate, an allergy, chronic caffeine stress or gastric reflux can increase the size of the thyroid? or swelling there (thyroid or lower neck). I have had a goiter with no thyroid problem (it works well) for a long time and I feel like it is getting bigger and bigger, especially lately, and I have anxiety all the time because of it. stimulants, and a little stomach ache, especially at the end of the day (I think of dark chocolate especially), every morning when I wake up before eating anything, it bothers me less. Does this speak to anyone? I know the best is to see the doctor again but I think I'll have to stop all my nonsense, especially since I have an excellent diet besides that, thank you ...

Réédit : Maybe the caffeine and stress also robs me of a lot of vitamins and minerals for my thyroid?

Thursday night, I discovered a black firm elevated bump/mole in my belly button. It does not look right, and upon googling, it really looks like nodular melanoma. Who knows how deep down it has spread, I am so scared. I left a message for my dermatologist Thursday evening, and called again Friday morning. They couldn’t get me an appointment until Monday afternoon and it’s with a new doctor since my doctor apparently retired. I tried calling other dermatologists but they had no appointments for weeks. So now I wait until Monday. Everything I’m reading about nodular melanoma says it spreads quickly and be fatal within weeks to months.

What happens if they confirm it is nodular melanoma but I can’t get an appointment with an oncologist or have surgery to remove it for weeks? I don’t want to die because I’m waiting and can’t get an appointment. I feel like it’s spreading and I’m helpless. Anyone have any tips for getting prompt melanoma treatment surgeries/blood work/oncology etc?

I have hypothyroidism since age 16 since then I've had a thick, fat, ugly, unsightly goiter. It's even gotten to the point where people I know have pointed it out asking what's wrong with it.

I once sat at a restaurant with a friend and the waitress ran over to tell me that she could tell from the moment she saw me that I had a thyroid condition. She was so proud of herself! My friend and I finished eating in an awkward silence.

I've recently had surgery to make it look a bit better. Basically neck liposuction and tightening of the skin. And yet, the other day, someone asked me if my neck is swollen.

This disease can be frustrating.