This is the Forum for Thyroid Patients. Dr. Lupo is on the Doctor's forum. Sometimes when their quota of questions is full for the day, posts like your end up here. You will have to try again to post it on the other Forum for Dr. Lupo.
Oh ok thank you. I only just joined after browsing the forums and hoped to get a response from well, anyone :). I'm not sure how to navigate this site yet.
I suppose a few others will chime in? From reading, some of the members seem very wise on these matters.
we have a member who is very good at interpreting ultra sound results; maybe he will see your post and respond.
I understand the waiting lists in Canada, but if something is an emergency, won't they get you in sooner?
Possibly, but that depends on whether they consider it an emergency. My own family doctor didn't even consider it urgent to give me the results :(. I waited 10 days to see that report, and she had had it since the day of my US. I see my Derm today, who I'm hoping will intervene and make some calls.
After a few phone calls to the specialists office and my GP, I now have an appointment scheduled on Mar 28th. I'm relieved and a bit worried at the same time. Considering I was quoted 3-6 months minimum to get in, and they've got me there in 2 weeks instead? ...
Any feedback from the forum? Please help me understand what i'm possibly looking at.
Please keep us posted ... I had an FNA in 2006 and it wasn't too bad.
Here is a link to our Ask a Radiologist expert forum which is free:
Maybe you can post your question there as you wait!
Update: the scheduled biopsy wasn't apparently on the books. My GP was wrong in her thinking the Endo would do it today in her office. I actually have to wait on another referral to a pathologist for that. Could be 2-3 months before it happens. And the nodule is now 5cm+. I knew it was growing, but am still shocked at how much. It doesn't matter one whit to the doctor though. She can't change the waits, so I have to somehow find a way to pass the time without causing myself a stroke.
I'm very sorry that you didn't get the biopsy. Did you have another ultra sound that showed the nodule is growing?
I've sent a PM to one of our members who is very good at interpreting ultra sound results. Hopefully, he will chime in and give you an idea of what might be going on.
'The Endo used some ruler type thing. Plus she said she could tell by look/feel it was much larger than the US stated. It's far more visible now than it was even a month ago. The plus side is I was notified of a surgeon consultation the first week of May. I'll probably have the thyroid removed before a biopsy.. *sadly*. Now more waiting.
Maybe your nodule is growing due to fluid load in cystic part of nodule, but it certanly must be proved by biopsy.Nodules of that sizes ussualy do not cause compression syndrom, but it must be verify by fluoroscopy of the trachea
From my experience, you will be told to remove your entire thyroid due to the size alone.
she said it could be due to cystic fluid or bleeding inside the nodule. Either way, it's not attractive and it frightens me :(
I must agree it is not attractive, but most immportantly that it is not malignant. Annyway, you have not to be afraid, therapy options are good, just it is not comfortable waiting findings
The next step could be the CT scan with contrast (this will show better then the ultrasound if blood fills the nodule or something else).the ruptured blood vessel produces cyst which usually collapses (gets smaller after few days).
The rupture of the blood vessel (internal bleeding) is treated by applying cold to the area to reduce blood flow, avoiding stressing the neck and not taking drugs containing blood thinners such as aspirin. The injection of calcium chloride was commonly used in the past to treat internal bleeding. The infection or inflammation will cause pain fever and hardening of the nodule rather then ballooning of it.
Ultrasound with fine nidle gaided punction has precedence in thyroid examination (because of better rezolution, nodules size of 2mm can be detected). CT is not indicated at all.
I am surprised that with a fine needle biopsy has not been done. It's the best way to find out if it's benign, although in some cases it comes out inconclusive but that's what I would ask for.
My endo. said if any of my nodules grows over 1cm (10mm), she'll order the biopsy.
She's ordered one, the problem is it's not done in her office, so I have to wait for an appointment with a different specialist. She said the surgeon can probably do it when I see him May 2nd, but if not, it might just be done as pathology after surgery. She doesn't want me waiting months on end to have the testing, and on average its' 3 months for an US guided FNA.
When ultrasound alone fails to give clear picture of what is going on, a second imaging test is requred. Then both tests are reviewd at the same time by the radiologist:)