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April  9 - 11

Reduced appointment scheduling April 16- April 27

July 4, 2012

Traffic alert

Please note there is much increased traffic on the 610 loop because of the Houston Rodeo (Feb 22  to  March 19, 2012). Please plan ahead

Thyroid Nodule Clinic

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:

Who performs the biopsy and is it the same physician that makes the treatment decisions?

At Houston Thyroid and Endocrine, our physicians themselves are involved from start to finish with each patient's evaluation. Since the physician himself performs the the biopsy, there can be a dramatic positive impact on the interpretation of results and management of the nodule as there is not a "third-party" involved in the decision making. Long term followup can easily be decided. 

Is genetic testing offered for indeterminate biopsies?

Since 2011 this is new testing is only being offered by select locations. We have been offering this service since that time because this testing reduces the need for unnecessary surgeries. 

What is the rate of indeterminate and non-diagnostic samples?

The national average for indeterminate nodules can be as high as 20% which can sometimes make it difficult to avoid surgery in some patients. Ask us about our indeterminate rates. 

Prior to the biopsy, what will be your personalized treatment plan for the 4 possible results from FNA?

The endocrinologists at Houston Thyroid will make sure you understand every step in the process so you are clear about the long term plan for management of your nodules. 


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. 



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medhavi jogi,
May 13, 2011 5:29 AM