thyroglobulin up & enlarged lymph node

[darknight11221122]

Hi, i have undergone total thyroidectomy 2 years ago & had a papillary cancer removed. It was encapsilated in a large goiter. I have had radiated ablation for 2 years.  
I am having an operation on monday to remove several large cysts on my scalp & am aware that this cancer can spread to the scalp (they will be biopsied) so visited my endocrinologist prior to this.  He said i had an enlarged benign bilateral lymph node on my neck (after an ultrasound)  & that my throglobulin levels had risin from 0.02 to 0.62 & he seemed concerned by this rise  wants a repeat after another month.
Anti-Thyroid is <30 ... previously <20.
Do you think the rise in thyroglobulin is significant & should i be worried about the enlarged lymph on my neck?
Thank you in advance &will eagily await your reply
Bobbie

[Mark Lupo, M.D.]

The enlarged lymph nodes are likely "reactive" to an infection or other upper-respiratory inflammation (sinus, allergies, dental problems, etc).  The increase in Tg needs to be watched as does the ultrasound appearance of the lymph node(s).  A biopsy of the lymph node may be needed if the Tg continues to rise.

[Mark Lupo, M.D.]

The Tg rise is potentially significant -- assuming it was done at the same lab (which it probably wasn't given the different reference range for anti-"thyroid".....The lymph nodes need monitoring and if there is persistent concern...biopsy.   The scalp cysts are not likely related to the thyroid cancer.

[darknight11221122]

Thank you Dr Mark Lupo for your fast reply.
Yes the thyroglobulin test was done at the same lab.
I have just come back from removing some fatty cysts from my head & the surgeon didn't want to biopsy as he said he was 100% certain they weren't cancerous.
I am in Cyprus so maybe thats why the definition anti-thyroid is different. Actual test results say Anti-thyroid Abs.Tg  <30 IU/ml.
Could my enlarged benign lymph gland be due to another infection like a cold or abcess on my head?
What would the next course of treatment be if my thyroglobulin were to rise again in a month?  Would anything apart from thyroid tissue cause a rise?
Thanks again Dr Lupo & sorry for the bombardment of questions.
Bobbie

[RodeoQueen]

For sure is is worrisome but try not to get to worried and just take one day at a time. Ya know Hurry up and wait!!! Get it out and you will know!!! Best of luck!!!
Rodeo Queen

[darknight11221122]

gland, i meant lymph gland not node.