no options

[melanieann48]

Due to some difficulties swallowing and feeling like I have a turtleneck  on I had a scan done.  The ENT said I had no options except removal, a biopsy would be pointless since it needed to come out.  Following are the scan results.  R lobe 53x24x26 mm L lobe 57x27x35 mm.  Multiple bilateral nodules, largest on R midgland 17x16x15 mm.  L lobe nodule 36x27x28 mm.  Lower pole nodule on L containing calcifications 12x11x12.  Additional lower pole R 13x10x9 mm. It has echogenicity and a few faint microcalcifications. Upper gland level on R 16x13x12 mm.  A little concerned no further tests are recommended but maybe he is correct and  a thyroidectomy is the best route. 2 months ago my TSH was 0.6. Surgery is scheduled Nov 4. Your opinion would be appreciated.  

Thanks so much

[Mark Lupo, M.D.]

Sounds like you have compressive symptoms due to goiter.  With the TSH of 0.6, thyroid medication (or adjustment of) will not help.  We do consider pre-op FNA of conspicuous nodules as if there is a pre-op diagnosis of cancer, then the extent of surgery may change to include lymph node dissection.  Also, the entire neck should be evaluated with ultrasound to identify any abnormal lymph nodes.

[melanieann48]

Thank You, this all seems quite scary. I am finding it hard to believe that this is happening and I feel very out of control right now.  All this from a simple question about feeling choked. This is all new to me, I got the feeling he feels pretty sure it will be cancer.  I have never taken any thyroid meds. I will ask about ultrasound on the lymph nodes. Many thanks.