Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Benign Nodule/Hashi or Possible Parathyroid Issue?
About This Forum:

Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Benign Nodule/Hashi or Possible Parathyroid Issue?

Just benign nodule/Hashi or possible parathyroid issue?

4/13/12 - Ultrasound
Large nodule seen centrally within the left thyroid 1.9 x 1.2 x 1.5

4/13/12 - Labs
TSH 3rd Gen - 2.900
T4 Free - 1.0
T3 Total - 1.03
Calcium - 9.8 mg/dl
Creatine - 0.60 mg/dl
HCT - 35.0%
MCH - 31.4 pg
RDW 15.5%
Mono 11.5%
Alt - 58 IU/L
AST - 80 IU/L
all other labs were normal range

10/24/12 - FNA
Benign follicular cells, macrophanges, blood & colloid favor goitrous nodule

10/30/12 - Labs
TSH - 3.54 uIU/mL
T3 Circulating - 1.2 ng/ML
T4 Free - 0.59 ng/dL
Calcium - 10.7 ng/dL
Osmo Calc - 271 mOsm/L
Creatine - 0.5 mg/dL
HCT - 39.5%
MCH - 32.7 pg
RDW -13.9%
Mono Abs - 866 /uL
RBC - 4.12 x10^3/uL
Alt - 34 U/L
AST - 34 U/L

Symptoms -
fatigue, muscle/bone pain, ear/jaw pain, salivary gland swelling, poor focus, weight loss, irritable/depression, high blood pressure, gerd.

Not sure where to go from here & would appreciate any & all help!!
Have a fantastic Friday!
97953_tn?1193367871
Would repeat the calcium with parathyroid hormone level.  With the TSH of 3.5 for would also check thyroid antibodies to see if this is Hashimoto's.  The biopsy sounded benign, usually we would repeat ultrasound in one year given this result assuming there is no change in the size of the nodule from the April to the October ultrasound.
3 Comments
Blank
4133768_tn?1351832072
Unsure of why I didn't receive any feed back...guess my post was to clinical?
Woke up this morning with swollen cervical lymph node, on same side as "benign" nodule & now I am not only scared, but mad as heck!  Wish my intern would have ordered the PTH & TgAb last week!!  

Any & all help would be appreciated, positive or negative!
Have a blessed Sunday y'all!
Blank
Avatar_f_tn
sorry you did'nt get any responses. I'm going to feel the same way if noone comments on mine either. I'll be praying for you. I'm having surgery in two weeks and I wish mine was sooner too. I have been having alot of pain in the area of my nodule the past week. Its' getting worse too. I woke up swelling yesterday on the opposite side of my nodule. So weird I think. Same thing happened this morning. I'm starting to worry about what this could mean.
Take care.
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank