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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
lymph nodes still
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.
lymph nodes still
by mtkst13, Jul 11, 2009 12:18PM
hello.
i'm sure you remember me...30 year old female, silent thyroiditis.
after six or so weeks on 88 from 112 synthroid, my tsh is now .78 from .09. the endo wants to see me in 6 months. does this sound reasonable even though it's only been 6 weeks since the dose change?
i had an ultrasound again to evaluate lymph nodes and small nodule (.3 x. .3 x .2cm and hasn't changed). my right lobe is enlarged at 5.2 x 2.1 x 1.4cm; why would it enlarge when it's never been enlarged in the past? the other lobe is the same as the previous exams. i also still have numerous level II jugular lymph nodes ranging between 1.5cm and 2.2cm that appear to look normal. i've had these for at least a year. is this normal? should i be concerned?
my endo doesn't think that my heart palps and muscle aches after exercise are thyroid related since my levels are normal. she told me to see my primary doc about the lymph nodes and any other symptoms. oh well. now i'm trying to get my other doctor to order ct with contrast? does this sound like the next step? i'm just annoyed with having to move from doctor to doctor when i could've at least had the test ordered.
thanks.
maria
i'm sure you remember me...30 year old female, silent thyroiditis.
after six or so weeks on 88 from 112 synthroid, my tsh is now .78 from .09. the endo wants to see me in 6 months. does this sound reasonable even though it's only been 6 weeks since the dose change?
i had an ultrasound again to evaluate lymph nodes and small nodule (.3 x. .3 x .2cm and hasn't changed). my right lobe is enlarged at 5.2 x 2.1 x 1.4cm; why would it enlarge when it's never been enlarged in the past? the other lobe is the same as the previous exams. i also still have numerous level II jugular lymph nodes ranging between 1.5cm and 2.2cm that appear to look normal. i've had these for at least a year. is this normal? should i be concerned?
my endo doesn't think that my heart palps and muscle aches after exercise are thyroid related since my levels are normal. she told me to see my primary doc about the lymph nodes and any other symptoms. oh well. now i'm trying to get my other doctor to order ct with contrast? does this sound like the next step? i'm just annoyed with having to move from doctor to doctor when i could've at least had the test ordered.
thanks.
maria
Doctor's Answer
by Mark Lupo, M.D., Jul 12, 2009 12:41PM
, Jul 12, 2009 12:41PM
We have 200-300 lymph nodes in the neck region. These sound normal by your description. CT scan is sometimes helpful, but ultrasound (in the right hands) is very good for lymph nodes. Thyroiditis can cause enlargement of the nearby lymph nodes as well. The TSH is normal but a trial of an even lower dose may help the palpitations.
