Possible thyroid cancer?

[lrnmsgirl]

I am a 47 year old woman who has had symptoms for a couple of years (hoarseness, lump in throat, sometimes dry cough, etc.).  I know that I have a nodule on my vocal chords as well as 2 nodules (one in each lobe) in my thyroid.  The thyroid nodules are approximately 3 mm each.  According to the ultrasound reports (I had one recently and also one three years ago), my thyroid gland is not enlarged and the nodules haven't changed significantly.

I have seen an ear, nose and throat doctor who suggested that I take reflux medication (even though I don't have any heartburn).  I also have had an endoscopy (almost one year ago) which was clear.

I was a smoker for about 10 years (about 1/2 pack per day).  Quit smoking about 7 1/2 years ago.  I also grew up in a smoking household.

I went on reflux medicine for several months, with no noticeable improvement in the hoarseness and lump in my throat.

I am worried that I might have cancer.  What can you tell me and what kind of doctor should I see about this?  I live in a very small community but have access to a larger city for doctors.

Thank you for your help.

[Mark Lupo, M.D.]

The 3mm nodules in the thyroid should be observed over time.  There is no indication for biopsy and these are not capable of causing any symptoms.  Repeat ultrasound in 6-12 months.

[Bella1950]

I would go to a good Endocrinologist.  They handle all the Thyroid issues, etc.  I have some of the same issues, but have a Multigoiter, and have scans every 6 months, and my PCP sent me to the Endocrinologist, and he found 2 parathyroid adenomas, so then to the ENT for surgery, and they are both following my Thyroid!  Hope this helps, Bella1950