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Posted 4/21/2016 3:47 PM (GMT -8)
Dear, the following is report for my mother who is 62 years old and she has diabetes. What is the cancer risk based on the report? I will be happy for comments.

Thyroid gland is in the normal position.
-The size of the thyroid gland is increased and extends to the substernal area (goiter planjuan).

- In the right lobe of the thyroid gland, there is cystic degeneration area of 32x26 mm
and there is a heterogeneous hypoechoic solid nodule containing calcifications.

- In the right lobe, there is a 6mm diameter solid hyperechoic nodule.

- In the left lobe of the thyroid gland, there is a 5 x 10 mm hypoechoic solid nodule.

- Both of the thyroid gland parenchyma structure is in homogenous appearance.

- Neck soft tissue is in normal view.
- No detection of pathologic lymph node.
- The main vascular structures is in normal view.

Result:
-Planjuan goiter.
-Thyroid nodules identified.

------------------------------

Hormone test:

TSH: 0. 607 uIU/mL, normal: 0.27 - 4.2
FT4: 1. 64 ng/dL, normal: 0.9 - 1.7
FT3: 3.72 pg/mL, normal: 2 - 4.4
Posted 4/21/2016 9:35 PM (GMT -8)
Hi,

Your mother has Hyperthyroidism which appears in her TSH and Free T3/4, also her thyroid US shows goiter, cyst and nodules, which is why she need to see an Endocrinologist .

Is she on any thyroid medications? has she been tested for thyroid antibodies? she should get tested for TGab, antiTPOab and TSIab, the first two confirm Hashimoto's disease which can cause both hypo and hyperthyroidism, the last one is indicative of Graves's disease which causes only hyper.

Ask you PCP for a referral to an Endo!

Best wishes,
Posted 4/22/2016 12:54 AM (GMT -8)
the hormone tests are in normal range. why did you say Hyperthyroidism?
She is diabetic and hence using antibiotics for diabetes and hypertension.
No thyroid medications. Bo further test for antibodies.
I am currently worried more about existence of calcifications and hypeoechoic structure for
cancer existence.
Posted 4/22/2016 2:05 AM (GMT -8)
Her TSH is indeed within normal range but it is low in the range which is why I said she has hyper, this is confirmed by her FT4 which is borderline high and her FT3 is too high also.

Just falling within normal range is frequently not enough, the optimal TSH is around 2.5 .

Thyroid cancer is quite rare, only about 5% of thyroid nodules turn to be cancerous, but since I am no doctor I can't really interpret her US report, see an Endo as soon as possible.

Best,
Posted 5/6/2016 12:23 PM (GMT -8)
The last couple days I've read a few article on a reclassification of some thyroid cancers. I found them interesting so thorough to share.

The definition of what is harmful cancer is, and what is likely to not be a health problem has been debated over the years. I'm not surprised at this redefinition.

"Not all cancerous tumours are actually cancer': Thyroid growths are first ever to be 'downgraded' to prevent patients having unnecessary treatment"

http://www.dailymail.co.uk/health/article-3573247/Not-cancerous-tumours-actually-cancer-Thyroid-growths-downgraded-prevent-patients-having-unnecessary-treatment.html

&

"Doctors now say this type of cancer isn’t actually cancer — and the new classification is changing thousands of lives"

http://www.businessinsider.com/thyroid-cancer-treatment-doctors-science-2016-5
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