Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
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'Hot' Thyroid Nodules

Thursday, 17 Nov 2011 08:48 AM

Question: I have had two thyroid scans and have two hot nodules on my thyroid. I have no appetite, have lost weight, have insomnia, and sometimes I have a sore throat. What tests can be done to find out if I have cancer?

Dr. Hibberd's Answer:
The good news is that the majority of hot thyroid nodules are not cancerous. The majority of thyroid cancers are nonfunctioning or "cold" nodules. When concerns about malignancy are raised, the only definitive test is by biopsy and tissue analysis. Most thyroid biopsies can be performed by a needle aspiration technique, often in the office, or can be done under ultrasound guidance in most hospital's imaging departments under physician order and supervision.

We do not rely on blood testing for diagnosis of thyroid malignancy. With hot nodules, you should consider a consultation with an endocrinologist. Relax, you will be just fine.

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