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Single Complex Nodule
I have multiple autoimmune diseases, one of which is lupus. I visited a GI in October to test gluten allergy because I had read an article that lupus could be related to a gluten allergy. What a twist this visit took. When I met with the doctor for the lab results he informed me that he had also ordered a tsh test because he noticed enlargement on the left side of my throat. The tsh level was 6.something. He prescribed .88mg of Synthroid. Amazingly the 30lbs that I had gained suddenly made sense.
My gp did an ultrasound the next week and he reviewed the the results with me immediately. He stated that I had a goiter and diagnosed me with clinical hypothyroidism.
Now fast forward to January. I was on the Adkins diet and exercising but couldn't lose one pound. Thyroid levels are low normal and that lump in my throat is more visible to me. Talked to my gp whom made me feel nuts! He referred me to an ent to give us both piece of mind and I'm sure to shut me up. Love, love the btw!! He set up another u/s because he would rather a radiologist check it out since my gp did everything on his own.
Turns out that what my gp called a goiter is a 2cm complex nodule!! No goiter!!
He said that we would do FNA on my next visit. So I go scared to death and when he comes in the room he states that he will not be doing the FNA because the nodule needs to be removed and there was no sense in doing both. He will have pathology freeze and biopsy while I'm still in the OR and if it is cancer will remove both lobes.
I try not to worry but it is hard! My surgery is in a couple of weeks. Should I be worried that it is cancer?
My gp did an ultrasound the next week and he reviewed the the results with me immediately. He stated that I had a goiter and diagnosed me with clinical hypothyroidism.
Now fast forward to January. I was on the Adkins diet and exercising but couldn't lose one pound. Thyroid levels are low normal and that lump in my throat is more visible to me. Talked to my gp whom made me feel nuts! He referred me to an ent to give us both piece of mind and I'm sure to shut me up. Love, love the btw!! He set up another u/s because he would rather a radiologist check it out since my gp did everything on his own.
Turns out that what my gp called a goiter is a 2cm complex nodule!! No goiter!!
He said that we would do FNA on my next visit. So I go scared to death and when he comes in the room he states that he will not be doing the FNA because the nodule needs to be removed and there was no sense in doing both. He will have pathology freeze and biopsy while I'm still in the OR and if it is cancer will remove both lobes.
I try not to worry but it is hard! My surgery is in a couple of weeks. Should I be worried that it is cancer?
I feel like the ent saw something on the u/s to change his mind as abruptly as he did. He prepped me for the chance that the nodule is cancerous and what to expect. Obviously I should have asked more questions but due to shock taking over I was at a total loss.
If it were me, I think I'd get the FNA and if it's benign and causing no symptoms, have them follow it up with am ultrasound yearly. In any event according to the American Association of Clinical Endocrinologists, PEI (alcohol injection) is the treatment of choice for complex nodules.
I'd get a second opinion.
I'd get a second opinion.
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