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solid dominant nodule w/ microcalcification always malignant

I am in my mid 40's and have a multinodular goiter. Had a thyroid biopsy 10yrs ago and thankfully it was benign. Recently I had another thyroid Dino that again shows multiple nodules. A grew are as large as 0.9cm but one is greater than 1.5cm and another is 2.1cm. They referred to these as solid, dominant nodules with microcalcification. They are located in the left side. Report also states the lymph nodes on the left are reactive. I had a FNA almost two weeks ago and am still waiting on results. I am a nurse and needless to say I'm kind of concerned. Is solid dominant nodule with microcalcification always malignant? Also what exactly does it mean when the lymph nodes in that area are said to be reactive.
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replied January 28th, 2018
Thank you for asking at Ehealth forum!

I read your question and i understand your concern.
No,there are only 30% chances of malignancy.
Reactive lymph node means that it has been enlarge secondary to infection in the territory or inflammation and not due to malignancy.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan
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