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January 31st, 2010
I am seeing a surgeon this week regarding node found on right thyroid lobe 9 mm on ultrasound from my PCP recommendation. I am assuming he will do a needle biopsy. Does he do a needle biopsy of the lobe and also the cervcial lymph node? They may or may not be related. Is needle biopsy always done ultrasound-guided?

This particular surgeon usually chooses to cut in to find out if nodule is cancer, saying that FNA is painful. I am a singer and will not be cut into unless it is necessary, and certianly not twice, first time simply for discening if it is cancer, or not. What is your opinion?

Thank you.

Rebecca
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replied January 31st, 2010
The generally accepted first step in evaluating suspicious thyroid nodules is to perform an FNA. If the nodule cannot be definitively appreciated by palpation, then ultrasound can be used to guide the FNA needle. If you have an enlarged lymph node in your neck as well, then it would be reasonable to perform an FNA of the lymph node too.


Sincerely/ Robert A. Wascher, MD, FACS

www.doctorwascher.com

www.oncoguard.com



A landmark, evidence-based guide to a healthy cancer-prevention lifestyle, based on cutting-edge cancer research.
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foxfire07
replied March 5th, 2010
Dr.Wascher, Im having trouble with the thought of 4 small nodules in my thyroid and it came back suspicious in all 4 nodules on the right lobe and 1 is 1cm and the other 3 are 1/2 of 1cm. They want to remove them and i see a surgeon next week. This type of cancer they say is Follicular carcinoma. Im so scared and panic is setting in. I started having a shocking feeling and swelling in my neck. What do i do?
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