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Heterogeneous, solid, highly vascular nodule

Hi,

I've been told my "left lobe contains a heterogeneous, solid, highly vascular nodule measuring 20 x 13mm in size involving the mid and lower pole. The right lobe and the isthmus are normal."

My blood tests came back normal too. I'm a 29 year old female.

My biopsy is in 2 weeks. The nodule itself doesn't hurt, but above it the vein in my neck throbs and the gland under my chin on that side hurts too.

The bump feels bigger than the size they said, maybe that's because of skin etc. Maybe it's grown in the last 2 weeks since then.

I tried to ban myself from researching the net for what it might be, but am not doing a very good job. I find I get teary when I think about it which isn't good at work, and really don't want to worry friends and family so try not to talk about.

I noticed the bump 7 months ago, though had a cold and assumed it would go down. It's grown since. I wish I went to the doctor earlier.
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First Helper User Profile MyrahU
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replied January 23rd, 2012
I probably should add a question to that - does anyone have any good techniques to help forget about it until i need to leave for the biopsy? Or anyone else had similar results? Should I prepare mentally for the worst? Everything ive read suggests it isn't good. Feel free to tell me otherwise! Thanks
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replied January 25th, 2012
Extremely eHealthy
I know you think it's grown in two weeks and it's bigger than they say, but that's really unlikely. I know it feels big. I remember feeling mine several times a day, just wondering and worrying....I was also pretty young--23.

Personally, I found research to be comforting because it showed that the chances of it being something bad were pretty low and if it was something, it wasn't that bad. But not everyone reads stuff and finds the optimistic things. Also, that was six years ago and there is a lot more stuff online. I mean A LOT more. I can't believe how much more. This board didn't exist. Medline didn't exist. No Thyroid.org. Nothing like that. Just the Mayo Clinic and a couple of random other sites. Now it's kind of overwhelming.

Maybe it would help to focus on the fact that you are on the right track. Regardless of what it is, it is being handled. The next step is in place and that is what is done for every other patient. There isn't any thing you are missing. Also, these things usually grow very very slowly, which is why I seriously doubt it's grown, especially in the last two weeks and I doubt it's grown much in 7 months even. I know you are kicking yourself for not going to the doctor earlier, I did the same thing. A stupid nurse practitioner noticed that half of my thyroid was larger than the other *two years* before and basically did nothing. I believed her that it was nothing and when an *actual doctor* sent me for an ultrasound after noticing the same thing, I kicked myself for not questioning her, even though I thought it was odd. It took me a while to realize that I couldn't go back and give myself knowledge that I didn't have. How could I know better? You thought it was nothing and how could you know better? Everyone knows to check for abnormal moles and lumps on their breasts, but no one ever tells us about our thyroids.

I don't think you should prepare mentally for the worst. I think you should prepare mentally for not knowing for sure, even after the biopsy. Uncertainty is sometimes the name of the game with thyroid nodules. You might get good news, you might get not good news, but you might get inconclusive, which can be the worst because it could mean more waiting or another biopsy. I felt like I was blind-sided because I didn't even know that "inconclusive" was a possibility, but that's what I got, and I see now that a lot of people get that result and it's really...annoying to say the least.

Until you know, don't think that it's grown because it's going to feel bigger, the more you feel it. Try to do anything else that you enjoy. Remember that most of these things turn out to be benign and most aren't even found in the first place. They just have to investigate every one that they do find. I wish I knew a magic formula to make it easy, but I don't. Just know that you aren't alone.

Let us know what happens and feel free to re-post any time and ask any questions you have. Also, write down any questions that you have for the doctor before your appointments and make sure they are answered. I don't think people ask enough questions of their doctors. Smile
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replied February 19th, 2012
Thank you for your reply. I wrote a reply a few weeks back but unfortunately seems my phone stuffed up posting it. Essentially it said your reply was just what I needed at the time, so thank you so much.
I had the biopsy- I was so scared, cried, couldn't speak despite the doctor asking me questions during the two needles to calm me. It hurt a lot, but then I don't deal well with pain! It was sore for about 2 weeks. The lump was bigger than the original sizing. It was now 22mm x 25mm. The specialist doubted it had grown that much since the first scan, thought they mustnt have measured correctly to start with.
I got the results 4 days after the biopsy and have been given the all clear. I have an appointment for 12 months time to check on the lump. I'm thankful it's all clear however still am no comfortable this lump is in my neck.
Thanks again for your thoughts. Good luck to everyone else who is in a similar situation.
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replied October 24th, 2012
Thyroid
Now Iam in the same situation what you have earlier. To day doctor suggested me for biopsy after my Ultrasound scan. I have an appointment for biopsy on coming wednesday. very scary situation
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replied October 26th, 2012
I think your problem is definitely curable. But for it you have to consult with the best oncologist possible.
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replied October 26th, 2012
My ultrasound report represents Hetrogeneous solid exophytic nodule emanting from the right isthmus anteriorly measuring upto 3.1 cm in greatest dimension . Equivocal punctate clacification may be present. Ultrasound guided FNA is strongly recommended.
I went for FNA yesterday. But the doctor examined my neck and again did the ultrasound test. And he told needs to take an FNA. and my bipsy is on Tuesday.
He is one of the best specialist for thyroid in this area.
But still what are the chances that my nodule contains cancer cells.
Why I got this problem? Iam just 26 years old. I don't have any habits like cigar smoking, drinking alcohol.
Do I need to follow any particular diet. Thanks In advance.
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