Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
infection from FNA or something else?
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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.

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infection from FNA or something else?

I apologize, I know I already posted a question about my cytology results, but I have this new development as of yesterday...

I had an FNAB done last Monday on my right and left lobes. The left side. I was sore, as they said I would be from 10 needles but that only lasted 24 hours. Yesterday morning I woke up with tender soreness in my left lobe which had the complex cyst (and came back "rare mildly atypical follicular/hurthle cell"), most noticeable upon swallowing. This morning that soreness has traveled from the bottom left lobe up the side of my neck. Could i have gotten an infection from the FNA? Or is this a normal reaction? I'm not quite sure what to do if anything. Any thoughts? I'm now also 38 1/2 weeks pregnant (not sure if that influences anything).

Also, my thyroid now looks swollen. The right side was swollen from the 2 cm cyst, but they drained that--it's still swollen. didn't know if that could also be from the FNA? It remains tender, too, but upon palpation--not when swallowing like the left.

For what it's worth, my thyroid had no pain or tenderness prior to the FNA.

Thank you for any and all advice/feedback!
Related Discussions
97953_tn?1193367871
infection is uncommn -- usually ice and aspirin (if ok with OBGYN) are adequate -- this is not unusual and may last 7-10 days in some patients.
12 Comments
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198187_tn?1190637930
I do not know your answer but I have a FNA tomorrow on Monday and wanted to know if you could give me any ideas of the feeling during the procedure.
thank you,
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Avatar_n_tn
The procedure is definitely not something to worry about, it's pretty simple. I had ten needle, but two were for a local lidocaine anethetic (though I don't think that actually did anything since I could feel it all). You feel a little ***** and a little bit of a burning sensation if they use lidocaine. After that I still felt the needle sticks and kind of an achy discomfort, but nothing that can be described as worse than bothersome. After that I felt a little strange swollowing and was sore that night, but in 24 hours that had pretty much cleared up. I have very very light bruising that you can barely see. It's definitely easy. Good luck tomorrow with your FNA ;)
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168348_tn?1379360675
I equated it to amniocentesis when pregnant  ... more of a pressure than a terrible pain ... the dentist or endodontist's novocaine hurts worse I thought.

Cheryl
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198187_tn?1190637930
thanks they are not using anything they said the numbness medicine hurts worse than the actual procedure
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168348_tn?1379360675
Yes I would agree ..... if all goes as it usually does, by the time you feel an ouch then you feel pressure feeling different and then they are done!

Cheryl
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198187_tn?1190637930
well fna was done today, sore for sure but it hurts to turn my neck and i keep coughing and feel like something is in my throat very sore in the area were she put the three needles..she made the comment that the nodule is very solid very solid and that if there is any place to have cancer it was in the thyroid...yes maybe but still scared i have read solid nodules tend to be cancer
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198187_tn?1190637930
Can anyone tell me how long it normally takes to get results
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Avatar_n_tn
My results took three days to come in...but I admit the endo STILL hasn't called me back, I got them from my pcp who was cc'd on the cytology report.
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198187_tn?1190637930
I cannot read the posting from 4/12
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198187_tn?1190637930
I am sorry to ask this what was your outcome, i forgot..was your throat sore like a sore throat type at all before or after
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Avatar_n_tn
Hi,
What I'd said back on the 12th was that my results took three days to come in...but I admit the endo STILL hasn't called me back, I got them from my pcp who was cc'd on the cytology report. My throat was sore after, not before. But it sounds like that's pretty common. My results were rare mildly atypical follicular and Hurthle cells in my complex mass while the cyst on the other side was benign. The endo still hasn't called me back even now. I have found a surgeon to consult with as I *think* those types of cells have to be surgically removed no matter what. That appt isnt' until the 24th of May. My baby is due to be born next week (if she's on time!) so that gives me some post partum recovery time before the surgical consult and surgery :) DId you have your FNA yet?
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97953_tn?1193367871
Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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