Thyroid Nodules
New York Sinus & Thyroid Surgery Center – Edward J. Shin M.D.
New York Sinus & Thyroid Surgery Center – Edward J. Shin M.D.
Open Menu tel:646.943.7985
310 E. 14TH STREET 6TH FLOOR
NEW YORK, NEW YORK 10003

Thyroid Treatment NYC

Thyroid Nodules

Many patients turn to thyroid treatment in NYC with Dr. Edward Shin to find relief from thyroid-related disorders. Thyroid nodules are among the most common thyroid conditions. These lumps grow within the thyroid gland and can be a sign of an underlying thyroid issue like hyperthyroidism (an overactive thyroid). Many thyroid nodules are harmless and do not require surgery, but some of these lumps can grow larger over time and cause discomfort in the throat. Additionally, some nodules are cancerous and require comprehensive thyroid treatment in NYC. Dr. Edward Shin can treat thyroid nodules and thyroid cancer using the latest surgical techniques. Contact New York Sinus & Thyroid Surgery Center today to get started with your thyroid treatment consultation.

THYROID NODULES OVERVIEW
ABNORMAL LUMPS FOUND IN THE THYROID GLAND
NODULES VARY IN SIZE; MAY GROW LARGER OVER TIME
CAN CAUSE DISCOMFORT WHEN SWALLOWING OR SPEAKING
MAY BE CANCEROUS OR BENIGN
SCREENING TESTS CAN DETECT & DIAGNOSE THYROID NODULES
CONTINUAL MONITORING IS NECESSARY TO EVALUATE NODULES FOR CANCER
OFTEN CAUSED BY AN UNDERLYING THYROID DISORDER LIKE HYPERTHYROIDISM
MANY THYROID NODULES ARE ASYMPTOMATIC
THYROID TREATMENTS INCLUDE SURGERY, RADIOACTIVE IODINE, & ANTITHYROID MEDICATION
Thyroid Nodule Treatment

What Are Thyroid Nodules?

Thyroid nodules are abnormal lumps that commonly occur in the thyroid gland. As we age, the likelihood of developing thyroid nodules increases, with more than half the world population expected to develop nodules by 50 years of age. While the vast majority of thyroid nodules are harmless, some nodules can cause problems with thyroid function and affect the surrounding structures in the throat. Approximately 5% of thyroid nodules are cancerous. Cancerous nodules often develop in otherwise normal thyroid glands and in patients who exhibit no outward signs or symptoms. It is extremely important for a thyroid specialist to check your neck regularly for signs of nodules and to evaluate any nodules that are discovered in order to determine the best thyroid treatment for you.

How Are Thyroid Nodules Diagnosed?

In addition to performing a thorough physical exam and taking a comprehensive medical history, your thyroid specialist may order a series of screening tests to evaluate your thyroid nodules. The types of testing used will depend upon many factors, including the size and location of your nodules, as well as your family history and risk factors. Proper thyroid treatment in NYC will be determined after testing.

SCREENING TESTS MAY INCLUDE
Blood tests to check thyroid hormone levels
Thyroid ultrasound monitoring (nodules can be monitored every 6 months to look for changes)
Radioactive iodine scans
Biopsy to check for cancerous cells

What Are The Symptoms Of Thyroid Nodules?

Most thyroid nodules are small and do not cause any neck pain or outward symptoms, so they are often difficult to detect without a professional evaluation. Tiredness, muscle weakness, joint pain, unexplained weight fluctuations, and anxiety are just a few possible indicators of a thyroid disorder.

In some instances, larger nodules may cause visible lumps around the throat. Patients may notice discomfort or difficulty when swallowing solid foods or liquids. However, in most cases, thyroid nodules are discovered by physicians while checking the neck during a routine physical examination.

THYROID NODULE SYMPTOMS
THROAT LUMPS OR MASSES (MAY OR MAY NOT BE VISIBLE)
TROUBLE SWALLOWING OR SPEAKING
LACK OF ENERGY
JOINT OR BONE PAIN
SUDDEN WEIGHT GAIN OR WEIGHT LOSS
SENSITIVITY TO HOT OR COLD TEMPERATURES
HOARSE VOICE
MUSCLE ACHES
IRRITABILITY & MOODINESS
DEPRESSION OR ANXIETY
FREQUENT URINATION
RAPID OR IRREGULAR HEARTBEAT

What Causes Thyroid Nodules?

While thyroid nodules are very common, in most cases, we don’t know what causes them to form. Thyroid nodules develop more commonly in women and are found more frequently in older patients. Other risk factors could include a diet lacking in iodine, a family history of thyroid nodules, and pre-existing thyroid diseases like hyperthyroidism (an overactive thyroid) and hypothyroidism (an underactive thyroid). Autoimmune disorders like Graves’ disease and Hashimoto’s thyroiditis can also contribute to the development of thyroid nodules.

How Is A Thyroid Biopsy Performed?

In some cases, a fine needle aspiration (FNA) biopsy will be performed to determine if there are cancer cells present within thyroid nodules. During this procedure, a tiny needle is inserted into the nodule and a small amount of fluid or tissue is removed. If there are multiple nodules present, tissue samples may be taken from additional nodules. The tissue is then sent out for microscopic evaluation, with results usually available within a few days.

What Do The Results Of A Thyroid Biopsy Mean?

A thyroid biopsy can help determine if there are cancer cells present within the thyroid nodules. There are 4 categories of results for a thyroid biopsy: benign (non-cancerous), malignant (cancerous), indeterminate, and non-diagnostic. Depending on your biopsy results, ongoing evaluation, additional tests, repeat biopsies, or thyroid treatment in NYC may be recommended.

BENIGN (NON-CANCEROUS)
NO CANCER CELLS ARE FOUND IN THE NODULE
MOST NODULES ARE BENIGN & WON’T NEED TREATMENT
ONGOING MONITORING IS CRITICAL EVERY 6 TO 12 MONTHS TO CHECK FOR CHANGES
REPEAT BIOPSY IF CHANGES ARE NOTICED
SURGICAL REMOVAL IF NODULE CAUSES DISCOMFORT OR INTERFERES WITH THROAT FUNCTION
MALIGNANT (CANCEROUS)
CANCER CELLS ARE DETECTED WITHIN THE NODULE
MOST MALIGNANT NODULES CAN BE REMOVED SURGICALLY
IN SOME CASES, RADIOACTIVE IODINE ABLATION MAY BE USED
ONGOING MONITORING FOR RECURRENCE
RECURRENCE CAN BE TREATED WITH ADDITIONAL SURGERY OR RADIOACTIVE IODINE
INDETERMINATE
UNABLE TO DETERMINE IF CANCER CELLS ARE PRESENT
APPROXIMATELY 10% TO 60% OF INDETERMINATE NODULES WILL PROVE TO BE CANCEROUS
ADDITIONAL TESTING MAY BE RECOMMENDED
SURGICAL THYROID TREATMENT MAY BE RECOMMENDED
CLOSE, ONGOING MONITORING MAY BE RECOMMENDED
NON-DIAGNOSTIC
NOT ENOUGH THYROID TISSUE IS PRESENT TO MAKE A DIAGNOSIS
OCCURS ABOUT 10% OF THE TIME
REPEAT FNA BIOPSY IS RECOMMENDED
THYROID TREATMENT IS BASED ON RESULTS OF THE SECOND FNA BIOPSY
ONGOING MONITORING MAY BE RECOMMENDED
Treatment For Thyroid Nodules

What Are Some Common Thyroid Treatments In NYC?

Your thyroid treatment will depend on which types of nodules are present. In many cases, nodules are monitored every 6 to 12 months to check for any changes that might indicate a more serious, underlying condition. If changes are noticed, further tests may be ordered. If a nodule is cancerous, begins interfering with throat function, or demonstrates significant growth, then thyroid treatment will be recommended. Below are some common treatments for thyroid nodules.

COMMON TREATMENTS FOR THYROID NODULES
Thyroid Surgery
Your thyroid surgeon can remove the nodule from the thyroid gland, along with any cancerous tissue that has spread around the nodule. Depending on your condition, full removal of the thyroid may be necessary. Learn more about thyroid surgery by clicking here.
Radioactive Iodine
Radioiodine can reduce symptoms of an overactive thyroid. Radioactive iodine can be taken orally as a pill or liquid dosage. The radioiodine is absorbed by the thyroid gland and destroys the targeted thyroid cells that form the nodule.
Antithyroid Medications
Antithyroid medications may help treat thyroid nodules caused by an overactive thyroid. These medicines reduce the amount of thyroid hormones in your body, which can restore proper hormone levels.

What If My Thyroid Nodules Are Cancerous?

Though a cancer diagnosis is very upsetting, it is important to know that most thyroid cancers are very treatable, and many can be cured completely with thyroid surgery. Dr. Shin will discuss your individual circumstances thoroughly with you. Together, you will decide on the best course of action for your thyroid cancer surgery. Learn more about thyroid cancer by clicking here.

What Can I Expect Following Thyroid Nodule Surgery?

Surgical thyroid treatment requires 1-2 weeks off to recover. Patients are recommended to follow a liquid diet for the initial days of recovery because swallowing may be difficult. Pain medication will be prescribed to limit discomfort. Vigorous activities and exercise should be avoided until permitted by our thyroid treatment specialist. Patients who have undergone thyroid removal surgery may be given a calcium course to prevent low calcium levels in the blood (a condition known as hypocalcemia).

How Do I Learn More About Thyroid Treatments In NYC?

Our thyroid surgeon in NYC would be happy to discuss thyroid nodule treatments in more detail with you. To schedule a consultation, please call 646.943.7985 or request an appointment online at our NYC office.

WHAT PATIENTS SAY ABOUT DR. SHIN

Edward J. Shin, M.D.

NEW YORK SINUS & THYROID SURGERY CENTER

310 E. 14TH STREET
6TH FLOOR
NEW YORK, NEW YORK 10003

646.943.7985

New York Eye & Ear Infirmary Of Mount Sinai

NEW YORK SINUS & THYROID SURGERY CENTER

310 E. 14TH STREET
6TH FLOOR
NEW YORK, NEW YORK 10003

646.943.7985