An ultrasound detected a 7 by 8 mm solid nodule with some calcification, so I am having an ultrasound assisted FNA biopsy next Wednesday. The results will be given to my family medicine physician. If the nodulei is malignant, who should I see next, an ENT or endo? If surgury is needed, who actually does the surgury, an ENT?
Additional info/question. In a separate paragraph, which I beleive is referring to the thyroid in genral, no tthe nodules, the radiologist's report noted that the "Color Doppler demonstrates normal vascularity diffusely." What does this mean? I also had a 4 by 3 mm calcified nodule that does not require biopsy, why is that?
Your nodule is quite small, I can't believe they are doing the biopsy, it is hard to hit a nodule that small with a fine needle. Usually they wait until it gets closer to 1 cm. If they don't get an answer, then they are probably going to watch it and wait until it gets bigger. The calcification is a concern, nodules with calcifications are more often cancer, but you are still in the 20% range. Vascularity can sometimes indicate cancer, cancer needs blood flow. A normal benign tumor usually doesn't have blood flow. If they can hit the right spot and get cells for a diagnosis, then you will need to see an ENT, preferable one who does at least 2 thyroid surgeries a week. It is not an easy gland to operate on, so you want a pro. How were your blood tests? Any elevated thyroglobulin? This could also be a sign pointing to cancer. Looks like you are on the right track.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.