我这个甲状腺结节是不是恶性的?

来源: 2018-09-07 13:42:47 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (11047 bytes)
Clinical Information:  Thyroid nodule, compare with study from 08/17/2017.
Prior thyroid ultrasound:  08/17/2017 ultrasound.
Technique: Ultrasound examination of the thyroid and adjacent soft tissues was
performed.
REPORT: 
The right thyroid lobe measures 49 x 11 x 14 mm. 
The left thyroid lobe measures 49 x 10 x 12 mm.
The thyroid isthmus measures 2 mm in thickness. 
Texture: The thyroid gland is normal in size with an overall homogeneous
echotexture and several nodules identified. A 5 x 3 x 3 mm complex cystic nodule
is present in the central portion of the right lobe, too small to characterize
further. 
Nodule 1: 
Location: Left mid/lower pole posterior
Size: 15 x 7 x 12 mm, 0.67 cc
Composition: Mixed cystic and solid 1 (solid component measuring 8 x 6 x 7 mm)
Echogenicity: Isoechoic 1
Shape: wider than tall 0
Margins: smooth 0
Echogenic foci: Punctate 3
TI-RADS total points: 5
TI RADS Score: 4-6= TR 4
Change in Size, Composition or TI-RADS score: Increased in size, previously 13 x
7 x 9 mm (with solid component previously measuring 7 x 5 x 6 mm, currently 8 x
6 x 7 mm)
Lymph nodes: [No suspicious cervical lymphadenopathy.]      刚做了B超,就被要求做活检,活检最快也要一个月以后才能做。我这个甲状腺结节是恶性的吗?

所有跟帖: 

忘了说,我是女性,46岁 -Bri- 给 Bri 发送悄悄话 Bri 的个人群组 (0 bytes) () 09/07/2018 postreply 13:43:44

去年的B超报告也贴一下吧,医生去年的建议是一年以后复查 -Bri- 给 Bri 发送悄悄话 Bri 的个人群组 (8530 bytes) () 09/07/2018 postreply 13:47:28

TI-RADS一共5级,你的是level 4 (moderately suspicious),但活检后才能确认。 -桑实妹- 给 桑实妹 发送悄悄话 桑实妹 的博客首页 桑实妹 的个人群组 (0 bytes) () 09/07/2018 postreply 14:11:48

谢谢,我是看到结节一年长大了不少,而且又有点状钙化,还有内部有血流,这几条都是符合恶性的指标,很担心。 -Bri- 给 Bri 发送悄悄话 Bri 的个人群组 (0 bytes) () 09/07/2018 postreply 14:23:17

你这是囊性的,不用担心,按时做活检就是了。 -5678910- 给 5678910 发送悄悄话 5678910 的个人群组 (0 bytes) () 09/07/2018 postreply 18:44:40

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