We are dedicated to educating our patients about the proper management of thyroid nodules with The Thyroid Nodule Clinic.How is a thyroid nodule diagnosed?Thyroid nodules are the most common endocrine problem in the United States. Chances are about 1 in 10 that someone in the United States will develop a thyroid nodule. Nodules are frequently detected incidentally during a physical exam by your primary care physician or by an imaging test done for another reason. Most thyroid nodules do not cause any symptoms. Once a lump is detected in your thyroid, your physician will also try to determine if the entire gland has been affected by hypothyroidism or hyperthyroidism with simple blood testing. Most people with thyroid nodules will have normal blood testing. Even though most thyroid nodules are benign, specialized testing of all thyroid nodules is required to determine which may be malignant. An ultrasound of the thyroid is the best imaging test to evaluate a thyroid nodule but it alone cannot be used to determine if a nodule is malignant.
Thyroid fine needle aspiration (FNA biopsy).If you have a thyroid nodule, Dr. Jogi and Dr. Elhaj, who are located in the Texas Medical Center are well trained to provide the proper management. Not all thyroid nodules require immediate fine needle aspiration (FNA) thyroid biopsy. If it is indicated we will perform the procedure in our office. The FNA biopsy provides useful information to help determine if a surgical intervention is needed to further evaluate the nodule. There are four possible outcomes from a thyroid FNA procedure. The FNA may be able to differentiate among the major types of thyroid malignancies, each of which is treated differently. The endocrinology specialists at Houston Thyroid and Endocrine provide consultation, testing, and assessment in one location on one visit. If we feel that an FNA biopsy is indicated after our initial consultation, it is scheduled on a separate date unless you provide specific information ahead of time. Our biopsies are only performed on Fridays. Read our FNA risks/benefit sheet (FAQ).Questions to ask prior completing your thyroid evaluation/biopsy:
How are thyroid nodules treated?Nodules that are found to be thyroid cancer, or those that are highly suspicious for being cancerous based upon the FNA cytopathology results, are removed surgically by an experienced head and neck surgeon. If a nodule is found to be benign by fine needle aspiration, then surgery is usually not required. Instead, these nodules should be followed closely with serial ultrasound examination every 6 - 12 months for a period of time. A repeat biopsy or surgery may be needed if the nodule grows in size or begins to cause symptoms. Contact your Houston Texas endocrinologist who will be able to guide you through the many treatment options. |




