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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
large nodule with pain
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.
large nodule with pain
by zindy, May 08, 2007 12:00AM
thyroid nodule 5.2 x 2.6 x 2.6cm i had for about 7yrs dr been watching it. it started out 2.5cm on synthroid also had I 131 the ultrasound report was diffusely inhomogenous unable to identify definite normal appearing thyroid tissue. may also represent diffuse involement by numerous subcentimeter adenomatous nodules. i know its a complex, cold nodule. we're doing another fna this wk. it was 4.8 x 2.4 x 3.5cm before I 131. i have pain in ear,neck sore throat and hoarseness. they say its goinf to be risky cuz of prior thy surgery 17 yrs ago. that there's scar tissue in the area, afraid of vocal cords?? tsh 30.2 now down to 8.4 on armour . should we keep watching the nodule just really confused. thank you!!!!!
Doctor's Answer
by Mark Lupo, M.D., May 09, 2007 12:00AM
, May 09, 2007 12:00AM
this is a fairly large nodule - if there is a significant amount of cystic fluid, this could be drained and may alleviate some of the symptoms.
Repeat FNA is a good idea, if this is not clearly benign, then surgery.
May end up needing surgery -- there should not be significant increased risks with an experienced surgeon -- you may want to check out university hospitals, etc around your area for a thyroid surgeon to discuss this with.
TSh needs to be closer to 1.0
Repeat FNA is a good idea, if this is not clearly benign, then surgery.
May end up needing surgery -- there should not be significant increased risks with an experienced surgeon -- you may want to check out university hospitals, etc around your area for a thyroid surgeon to discuss this with.
TSh needs to be closer to 1.0
Member Comments (2)
by zindy, May 10, 2007 12:00AM
To: NEED SURGERY(DR. SAYS)
SEEN DR FOR FNA HE WAS SURPRISED HOW BIG IT IS AND SAID ITS GROWING BACKWARD (DEPTH) ? SAID NEED TO HAVE SURGERY. FEELING LOTS OF PRESSURE ON NECK,EAR PAIN HEAVENESS IF CHEST. I SOMETIMES THINK I"M LOSING IT. REALLY NERVES EVEN THOUGH HAD THY. SURGERY 18 YRS AGO. THANKS EVERYONE FOR THIS SITE I'VE LEARNED LOTS.
