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thyroid nodules and mass (Page 1)

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I went in yesterday for an ultra sound on my thyroid because my neck became tender and sore, I guess my thyroid was enlarged . I was told my dr. wouldn't get back with me until next week but called today to say- I had a lot of nodules and a mass (Think she called it a cysts also?) about 2.5 centimeters long on my thyroid and wants me to have a needle biopsy right away. I'm freaking out a little bit! My dad died of pancreatic cancer 10 years ago (its an endocrine organ to) and I smoke (supposed to be quiting but been putting it off)

I have read about thyroid cancer and it seems rare but still. She said it could be nothing just something they would probably treat with thyroid hormones. My blood work is normal. I can't believe I would be hyper.... but hypo sounds possible, seems like I've been tired and depressed this spring. I'm trying to lose weight how will this effect that do you think? Thanks for any advice or help understanding what this means. Sad Anything I should specifially ask the endocrine dr.
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First Helper User Profile MandMs
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replied June 23rd, 2008
Extremely eHealthy
Welcome to EHEALTHforum!
Have you been done the nuclear iodine uptake scan to check for hot and cold nodules?
Was it described the nature of the nodules (simple or complex) in the ultrasound report?

I guess you have Multinodular Goiter, many nodules causing enlarged thyroid gland.
Enlarged thyroid gland can compress vital structures in neck, trachea and esophagus, leading to coughing, difficulty breathing and swallowing problems (something stuck in the throat, sore throat, slight change in voice).
There is often a dominant nodule within a multinodular goiter which can cause concern for cancer (the one that will be checked with biopsy)

These nodules are developed like extra thyroid tissue to substitute and correct the body lack of thyroid hormones (You have right about your symptoms, they are characteristic for hypothyroidism, increased weight and difficulty losing some is sign of hypothyroidism)
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replied June 24th, 2008
mass and nodules
I'm not sure wether they are complex or not. My dr. said some are fluid filled some look solid. One is 2.5 cm and one is 1 cm with numerous smaller nodules. The radiologist report said they could not rule out cancer from the scan. All I have had done is the ultrasound. I am scheduled for the needle biopsy July 14, I was hoping for much sooner. Some stuff I've read online piont to cancer even though it sounds like usually it isn't. I have had headaches, it came on suddenly, my blood work is normal etc. I know I shouldn't worry, it seems like I'm thinking about it all the time though!
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replied June 26th, 2008
Extremely eHealthy
Symptoms of thyroid cancer are very similar to those caused by other infective and benign conditions.
So, a biopsy is the only sure way to know whether a nodule is cancerous.
Cystic lesion that has both solid and cystic (liquid) components is called complex cyst.
This lesion is actually known as tumor, because of the solid component (the liquid component can be formed due to some bleeding in the tumor)
Although a cancer in these tumors is very possible, still, majority of tumors of this type are benign.
I understand your worries, but, most of the thyroid tumors, even, malignant ones are always curable.

Best wishes!
Waiting for your post!
Marija
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replied July 12th, 2008
scared
HELLO HAVE HAD ALL THE TEST DONE A PERSON COULD HAVE DONE ON THEIR THYROIDS. WENT AND SEEN DR THE OTHER DAY AND NOW HE IS DOING A NOTHER BIOPSY HE WOULD NOT SAY IF IT WAS CANCER OR NOT BUT I HAVE CYSTIC COMPONENTS THAT MEASURE 1.9X1.1X1.3 A SOLID NODULE IS 8 MM RIGHT LOBE IS 5.9X1.5X2.2 LEFT THYROID IS 5.5X1.5X1.6 CM I HAVE A GOITER AND NOW I AM SCARED I HAVE BEEN READING A LOT OF STUFF I GOT A COPY OF MY REPORT AND IT SHOW I HAVE CANCER ON THE READING I AM DOING ON THE NET PLEASE REPLY RATHER IT IS GOOD OR BAD NEWS I NEED TO KNOW I GO BACK THE 23 OF JULY FOR MY RESULTS THANK YOU DEBBIE IN FLORIDA
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replied July 13th, 2008
I guess I won't be getting the biopsy tomorrow, it is just a preliminary visit. Which is so frustrating! Mostly the waiting and the cost since we will be paying for it ourself! I know it is scary I have managed to forget about it a little. Most of what I have read is reassuring, but I know there is still a chance for cancer. Hang in there, I'm just starting on this rollercoaster ride. I'll post what I find out. My computer is down so it may be a couple days. God Bless Shannon
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replied July 31st, 2008
dashouse
Hey I just joined the forum today and was wondering how you are doing.

I was told I had a cyst in December found by accident after a scan of my chest.
Had the ultrasound and needle biopsy but the doc said it was unclear if it had malignant cells in it.

The more I thought about it I decided not to let anyone cut into my neck just yet.

Its been 8 months I probably need to get another ultrasound.
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Users who thank KyTrader for this post: dashouse 

replied November 11th, 2012
Thyroid nodules
I had the same thing happen to me 12 yrs ago and I refused to let them cut me. They said I would have a 50/50 of never being able to speak again, but it was the only way to know for sure if it was cancer....Now, 12 yrs later, I got real sick and thought I had pneumonia. I was coughing up bloody music, had a sore throat and even lost hearing out of my right ear. During this time someone pointed out that my throat was swollen. I ran to the mirror and sure enough....the knot on my thyroid had grown substantially. I've had it as long as I can remember and touch it very often so I know that it just blew up over a few days. Well I decided to go go to the doctor. I first went to an after hours clinic that can only do so much in their office. She checked my lungs and ears and said they were clear, but after she saw my neck she decided not to do anything and for me to get to a family doctor ASAP. So, I did.....they did an ultrasound and decided they were overconfident that is is cancer. Since I had already been thru a bunch of test and a biopsy some years ago, they decided that no matter what, it has to come out. I'm now being scheduled for surgery and it has been a week today since I made my first doctor visit. They really have the ball rolling.....Anyway, I'm sharing this cuz you shouldn't waste any time and keep a regular check up on it as often as possible.
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replied July 31st, 2008
hi thank you for asking U K
I GO AUGUST 8 FOR A CERVICAL DEEP LYMPH NODE BIOPSY SO KINDA SCARED BUT MY LYMPH NODES ARE VERY ENLARGED BUT I ALSO HAVE A GOITER AND NODULERS SO WISH ME LUCK THANK YOU DEBBIE IN FLORIDA
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replied November 20th, 2008
Thyroid Cancer
Hi! I had surgery in May 2008 - All my thyroid was taken out, diagnosed with total Thyroid Cancer, and received radiation iodine. I will need to wait until next year in February to know if I am Cancer free. We need to create Thyroid Cancer awareness. This is a silent Cancer. I knew I had nodules when I told my doctor about my mom and sister having Thyroid Cancer. I could not feel a bump and neither the doctor. A sonogram confirmed several nodules. I feel for all of you that are passing thru this right now. Its not easy. Its an emotional roller coaster. Thanks for your support and feel free to pm me..........
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replied January 16th, 2009
Thyroid Surgery issues?
I hope I can shorten this, please bear with me.
Have thyroid cysts and 1 dominant nodule. Had ultra sound to confirm. was sent to surgeon. He might be good Dr. I don't know, 3 years in practice and my hubby and I were both toally lost. Contradicted himself a few times. Not good at answering a question. And For the most part we are pretty normal and knowledgeable. Surgeon ordering Thyroid scan, and possible FNA. He said he can't tell by xrays. Which I totally get. However he said, even if it's cancer. might be better to leave it, not take it out. What?? Said risks were there, but just normal stuff I read on web. A lot of people have had thyroid surgery. Hoping I can get some positive results from someone. He says "bleeding, infection, vocal cord damage, hoareness, maybe permanent. And the fact that I had a tracheostomy 14 years ago (Tube in for almost 3 months, no problems now))would make it so difficult, Might get another one, and maybe even permanent trach. (little shocker there) Said he wouldn't do it anyway, so now sending me on to Head, Neck Dr. I know things don't always go without problems, but surely lots of people don't hear all this negative stuff. I felt like maybe his lack of years being a Dr. might have had somting to do with it. But I'm left to wonder. Haven't had the 2nd scan yet, so who knows, but am frustrated and feel like I'm pushed from here to there, with no good answer. Any positive info out there? I could use help here.I hope some who has had the surgery can give some insight, and has anyone who ever had a Trach, also had thyroid surgery? Thannks for any info. Cherann
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replied January 22nd, 2009
Thyroid Surgery Issues
Me: 44 yr old male-- overweight. Never noticed nodule until it was removed 12/17/08.(Swallowing is easier now) 12/19/08 I was told it was Papillary cancer. Completed thyroidectomy 01/14/09 Surgerys were not too bad, but i can see if you had previous neck surgery and residual scarring, removal of the thyroid would be harder. Mine aggravates my throat-- like a scratchy sore throat-- when it swells up. I'm not a singer, but high notes are impossible 1 month post surgery. I am scheduled for radioiodine treatment Feb. 13th. Wish i knew if my isolation from ppl was gonna be 3 or 4 days, or exactly how long will it take? (Thanks for the posts-- info is helpful)
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replied January 23rd, 2009
HillbillyDave
Just to say thanks for info. My problem may be a little different I guess. But, still good to know somebody reads these. I'm not familiar with Thyroid issues and makes it harder to understand a lot of it. Thanks again. Cherann
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replied April 30th, 2009
Confused about mass on thyroid
I have been dealing with very bad breath for a while now so I went into a walk-in clinic thinking I had tonsil stones(old food lodged in my tonsils) that I couldn't see anymore but was told I needed an immediate ultrasound. I then found out that I had a 3c mass on my thyroid. Still waiting to get into the ear,nose,throat doctor. Can anyone tell me what I should expect next and also could the tonsil stones and the mass be related?
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replied May 1st, 2009
HELP!!
I have nodules on my thyroid. My sister had thyroid cancer and I have gotten my thyroid bloodwork done (not sure what it is called). But it came back normal. I have always had difficulty swallowing. I thought it was due to acid reflux.
I have been having heart palpitations and I went to the dr and she said the EKG was normal. Then went onto say that thyroid problems can cause palpitations. She felt my thyroid and order and ultrasound. Found nodules and now I got go get a scan done on it.
Sorry if this doesnt make any sense. It is 1 a.m. and I am up worrying about it. It seems like it has gotten larger but not real sure. then I searched my symptoms and came across anaplastic thyroid cancer. I worry extremely bad. The only symptom of that I have would be the difficulty swallowing and it seems like it has grown.
Someone please help me and tell me it will be ok. It is most likely not this. I am going crazy and cannot sleep.
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replied May 8th, 2009
Mass on my thyroid miraculously disappeared
I went in for a biopsy on my 3 cm mass today and found out the most interesting news...IT WAS GONE. It was only one week ago that an ultrasound verified that I had it....now it's just gone. I'm happy as I can be. Is it a miracle or is there a medical explanation? I've been on a high dosage of amoxicillan for a week now. I'm thinking this is some kind infection in my throat that landed on my thyroid. Any thoughts?
Thanks
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replied November 25th, 2009
i also have a very bad case of choking an swallowing sine a month ago hen i ae ready pack soup and ut in some maggie noodles, since then i had an ultrasound which stated thati have a solid oval shaped mass like density on my upper pole of the left lobe, i dont know what this could be do i have cancer, the doctors are not telling anything and are making it difficult for me to see a specialist,since their office takes a week to get authorization , i am lost cnfused and very sad, any insight would be helpful thanks
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replied November 30th, 2009
Extremely eHealthy
That is terrible when you can't get your doctors to tell you anything, but at this point, they don't really know one way or the other what it is. Try to get into an ENT or an Endocrinologist that has experience dealing with thyroid cancer and is also a surgeon. I'm not saying that it is cancer, but it needs to be tested for it and you want someone that can treat you from start to finish (whatever that may be). If it is cancer, the vast majority of the time, it's very treatable and the treatment is so much easier than it is with other cancers.

I will say that regardless of whether it is cancerous or not, they may want to do surgery because the nodule is making it difficult for you to swallow. If they do take it out, they will probably only take out the lobe with the nodule, test it and if it's clear, they'll leave the other one.

Just make sure that you feel comfortable with the doctor you get and that you trust them. If not, switch if you can. Don't be afraid to ask questions (write them down beforehand so you don't forget). You ultimately have the final say on your treatment, so you need to understand what you are agreeing to and what to expect. Do some research, but don't scare yourself or assume the worst. Inform yourself so you can more fully participate in your own care. If you have any more questions or information, feel free to re-post. Good luck. I know this is really scary, but a lot of people (including myself) have been through this. It was much scarier in the beginning than it was later on when I knew what was going on.
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replied December 1st, 2009
Ok..incase any one is following my panic state
of mind went and got mt throat scoped by
an ENT specialist .,all he saw was a mild reflux..now
I am officially freaking out since my ultrasound did show
a solid mas like density and I FEEL it absolutely
feel it and the ENT did not see anything ;(;(;( should I go to
another ENT or what can I do to see who will see
this mass out of me ..my endo's office didnot give
enough to the insurance verification for
my CT scan so that has been denied .. Can any one
anybone pls tell me how can I ease off abit..my shoulders hurt and just
saw a swelling behind my neck..I'm silly enough to
think that it's all related..but I would love to know
that shoulders and neck is from stress any one..eE tell me how to solve
this..thanks in advance
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replied December 1st, 2009
Experienced User
my mom has the same problem and she was told if she dont stay what the normal weight was for her age they was nothing they could do. she was olso told to stop smoking as that incress the chance of it not gettting any better.
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replied December 3rd, 2009
Extremely eHealthy
NS: I do think some of your problem is due to stress, particularly the shoulder pain.

You said the ultrasound showed something, but the ENT didn't see it? You mean when he scoped your throat? He didn't see anything putting pressure on your throat?

Maybe a second-opinion would be the best idea at this point if your current ENT says that nothing is wrong and doesn't have a plan for going forward. If you were having no symptoms, I don't think there would be any reason to take it out at this point without knowing more. Ask for a biopsy. If the nodule is small, it may have to be done under ultrasound. Don't worry--there's no cutting. Just a little needle. Ask your doctor if a CT scan is even necessary. I never had one, just ultrasounds, but maybe in your case it would be called for. Just make sure they have a real reason for doing it, rather than just to spend money.

Cocoabrown: Your mom had a nodule on her thyroid and they told her it was because of her weight? She needs to see a specialist (either an ENT or an Endocrinologist that has experience with these types of things) and also change primary care doctors (or whichever doctor told her that). Even if being overweight and a smoker does contribute to her problem, that's no reason to dismiss her. She might still need treatment. Have her get a second-opinion.
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