I have 2 nodules, a 1cm, and another 2cm. The 1cm nodule is hypervascular on the inside of the nodule. Had 6 FNA samples taken of this nodule.
I have had trouble swallowing and nerve pain that radiates from my neck to under my ear for years now. Didn't make a connection that it could be from thyroid until *after* the FNA was done and it subsequently triggered the nerve pain.
I was told the trouble swallowing was reflux Schatzki's ring & hiatal hernia. Had esophagus dilated in Oct. Still have trouble swallowing.
What are the chances this is malignant? Thyroid function tests are normal. I had 5 nasal radium treatments in 1960 for ear and sinus problems. I am 50 yrs. old.
There is a chance of malignancy - a "normal" FNA is about 98% confidence of benign - the radiation exposure as a child is a concern. Usually the thyroid has to be quite enlarged and compressing the esophagus to cause problems swallowing. The ear pain may be some irritation of the nerve by the thyroid. This is a tough situation - while thyroid surgery would answer the cancer question definitively and remove the thyroid as a cause of the other symtpoms, it is an invasive procedure and you would need synthroid (or the like) for life.
Thank you Dr. for answering my question. The endo who did ultrasound FNA seemed concerned because the nodule is vascular on the inside of the nodule as opposed to the periphery of it. She said this makes a difference.
So my question is: if the biopsy comes back negative, would they want to remove the left lobe anyway because there are growths on it? Here is what the report said:
"The left lobe measures 4.7x1.2x1.2cm and contains several masses. A solid, hypervascular mass that's in the lower pole and measures about 1.1x.9x.8cm. A second heterogeneous ovoid-shaped mass is in the interpolar region. It measures about 1.1x.6x.9cm. A third small solid appearing mass is in the upper pole on the left side measuring 3x3x2mm. The isthmus measures about 15mm.
IMPRESSION: There is diminished uptake evident in the left lower pole. No clear focus of abnormal uptake is evident in the upper pole although heterogeneity in this area is noted. The findings are not typical for multi-nodular goiter, these lesions should be followed as clinically indicated. Normal I131 uptake and normal TSH indicates overall normal function of the thyroid gland. If neoplastic disease is strongly suspected would suggest biopsy of left lower pole nodule."
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.