Q. Can mixed spongiform thyroid nodules be malignant ?

Answered by
Dr. Shaikh Sadaf
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 24, 2018 and last reviewed on: Oct 09, 2018

Hello doctor,

I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal.

Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules.



Welcome to

I just read your query and from what you have mentioned it appears that you have a thyroid nodule.

According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion.

Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC.

For more information consult an endocrinologist online -->

Thank you doctor,

What is increased flow and taller than wide measurements? Are spongiform nodules lobular?



Welcome back to

Naturally, it is an extra tissue which takes up blood supply. It is not a definitive criteria based on blood flow and the height pattern. Yes, the spongiform nodule can be lobular.

For more information consult an endocrinologist online -->

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