Aa
confused by test results
I am a 33 yr old female with stage 3 papillary thyroid cancer dianosed 10-09. I am confused by my latest test results. Pet-ct showed metastatic disease to right neck lymphnodes, irregular tissue in thymic bed that is atypical in size and configuration, 2 perifussal nodules in lingula, increased metabolic activity corresponding to the prominence of the lingual tonsillar tissue with effacement of both vallecula. Also, a left bochdalek hernia was found. Can you p[lease explain what all this means? My dr submitted my case to a board because he feels my case is complicated and is unsure how to proceed with treatment.
MEDICAL PROFESSIONAL
Thymic tissue is sometimes seen in young adults (perhaps increased after I-131 treatment transiently) and is most likely normal, but should be monitored on CT scanning.
The tonsillar hyperplasia is also likely unrelated to cancer but should be evaulated by an ENT.
You need a good neck ultrasound by a skilled doctor -- that is likely where the persistent/recurrent thyroid cancer is residing.
The hernia is one that you were born -- located between diaphragm (muscles of breathing) and intestines -- usually not causing symptoms....but ask your doctor more about this.
The perifissural nodules need evaluation for possible lung involvement of the PTC.
The tumor board review of your case is a good idea, but likely the next step may be additional neck surgery followed by I-131.
The tonsillar hyperplasia is also likely unrelated to cancer but should be evaulated by an ENT.
You need a good neck ultrasound by a skilled doctor -- that is likely where the persistent/recurrent thyroid cancer is residing.
The hernia is one that you were born -- located between diaphragm (muscles of breathing) and intestines -- usually not causing symptoms....but ask your doctor more about this.
The perifissural nodules need evaluation for possible lung involvement of the PTC.
The tumor board review of your case is a good idea, but likely the next step may be additional neck surgery followed by I-131.
I will be keeping good thoughts for you as you move forward in your treatment. i hope you get some answers soon.
All the best - B
All the best - B
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