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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Recurrent papillary with mets?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
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.
Recurrent papillary with mets?
by aztired, Jun 30, 2009 04:48PM
Thank you for your time, Dr. Lupo. I had a TT in Oct. 2008, post-op diagnosis of micropapillary cancer .9cm nodule. No lymph nodes were removed. At the beginning of April I started to feel neck fullness and ear pain. My endo had a lymph node mapping done which showed: a 7mm lymph short axis node at 2A with long axis 1.8cm with normal hilus, 6mm node at 1B with normal hilus, 3mm node 2B, 2.5mm node zone 4 with fatty hilus. No microcalcifications. Thyroglobulin, i believe, .76. I never did the i131. No antibodies. Endo decided to wait and see what new ultrasound shows in August. I still feel as if something is growing in my neck area. I also now have a chest x-ray showing a solitary calcified nodule which is new from October. What further tests would you recommend.
Doctor's Answer
by Mark Lupo, M.D., Jul 03, 2009 06:12PM
, Jul 03, 2009 06:12PM
you need further evaluation of the calcifed chest node. This could be related to the thyroid cancer (metastasis) or may be another issue. Usually CT scan is helpful, often with the evaluation by a lung specialist (pulmonologist).
The neck utrasound description is that of very small, benign-sounding lymph nodes. The Tg level looks pretty good, and usually would suggest against metastasis outside the neck.
The neck utrasound description is that of very small, benign-sounding lymph nodes. The Tg level looks pretty good, and usually would suggest against metastasis outside the neck.
