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.
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