WHAT'S NEXT? Palpable Thyroid nodule turned out to be enlarged lymph node plus additional enlarged nodes found.

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WHAT'S NEXT? Palpable Thyroid nodule turned out to be enlarged lymph node plus additional enlarged nodes found.

by MixDiagnosis on Sun Dec 15, 2019 12:32 AM

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I am due in this Monday at my GP's office after she sent me in to have an Ultrasound of my palpable thyroid nodule and TSH + T4, Free labs. Lab results came in borderline normal, but the US states I had a Normal Thyroid Scan...Then Additional findings were 4 different enlarged lymph nodes all equalling greater than 1cm, some 2cm. The report said it can only focus on 4 enlarged lymph nodes. I assume because I went in for a "thyroid scan". I have a grim story of sorts, as I have well-surpassed having symptoms, fatigue, etc. I'll spare that detail of chronological events for another time, because time is of the essence! Now I'm just trying to figure out what's in store? What will come next at the appointment on Monday? FNA? Excisional? Comprehensive Lymph Node Assessment? PET Scan? I am unclear because I have always been one that has to keep going and not being able to do that recently is depressing me. I just need a little guidance. It would be most appreciated. Thank you in advance! 

RE: WHAT'S NEXT? Palpable Thyroid nodule turned out to be enlarged lymph node plus additional enlarged nodes found.

by ToddlerFather on Sun Dec 15, 2019 08:58 PM

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FNA is next. Excisional doesn't apply to thryoid lesions since the same thyroidean tissue that is not currently affected could develop the same problems, although could be used on lymph nodes. 

Note that lymph nodes can enlarge simply to aid in responding to an infection, so they are not conclusive. 

PET Scan would require intense TSH-r stimulation to make tumors, if there are some,  absorb enough FDG to show up. Without abnormal stimulation, only Anaplastic/Undifferianted Thyroid cancers would appear. 

 

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