I have recently had a 2nd ultrasound done on my thyroid gland..I have had some difficulty swallowing and also unexplained hoarness of voice. My most recent ultrasound showed a complex mixed echogenicity nodule in the left lobe. I may be getting a FNA.. What are the chances that this is thyroid cancer? my nodule measured 8x6x5 mm in size.
I was having the same symptoms, I had four nodules, mostly solid, biggest was 2.1 cm and smallest 8 mm. There were three in the right and one in the left side, I had the whole right side removed, kept the left and the one nodule so that my thyroid would still have a chance at functioning. So far so good, hoarseness and swallowing issues are gone, I get my results of the biopsy tomorrow, Monday. My chances of cancer were 5-15%, unfortunately the FNA biopsy was in the NOT determinate for cancer category. They found benign follicular cells, but could not rule out cancer, so I had one lobe removed. It is not a perfect test, you may not get an answer. Your nodule is barely the size that they can do a biopsy, make sure they do an ultrasound guided one, where they actually have the ultrasound looking to make sure they get into the nodule. Good luck, I hope they at least get the right cells to make a diagnosis.
By the way, I just got the path report today and it is papillary cancer. They will now go in and remove the other lobe soon. Bummer! But at least now I know. My FNA reported BENIGN follicular clusters, nothing else, so an FNA is only one more tool to help make a diagnosis, it should not be considered apart from the rest of the data. Do your research and good luck!
Not always true, I had all 3 of my thyroid nodules 1cm, 5 0.5 x 0.7 x 0.7cm and 0.8x 0.9 x 1.0 cm biopsied by my good endo using ultrasound guided FNA.
The American Association Of Clinical Endocrinologist's Task Force On Thyroid Nodules says to make an exception and biopsy nodules smaller than 1cm if there are suspicious ultrasound features including absent halo, hypoechoic and taller than wide shape of nodules and I have all of these features.
And on the National Cancer Insitute's online special report on the increase of thyroid cancer in February and March 2008 Dr.Michael Tuttle from The Sloan Kettering Cancer Center was quoted saying that when he was a fellow many years ago they could only biopsy nodules over 1cm but he said technology has now advanced so much that they can now successfuly biopsy nodules smaller than 5 and 6mm!
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