Hi all,
Hope to find everyone well and in very good spirits
I'm a 38 year old man and I haven't been diagnosed with thyroid cancer as of yet (going to do an FNA today) but I really needed to speak with someone if that's ok, since all this is making me really scared. Can't stop researching online and the more I research the more scared I am.
I did an ultrasound in the begining of March that came back with several benign lesions in the left side of the thyroid and one lession with the following characteristics that I quote below, in the right side:
"There is a hypoechoic, heterogeneous right thyroid lobe lesion with microcalcifications, measuring 8x5x6 mm. Associated vascularity is demonstrated."
The nodule can't be felt or seen in the neck due to it being really small and it was only discovered because I paid privately to have this ultrasound. Was having issues with my voice and pain in the neck so while I was waiting for the appointment I did this ultrasound and good thing I did.
In the meantime, I've now been seen by an E.N.T that did a nose endoscopy and diagnosed me with issues in the vocal cords where they are not closing properly allowing air to pass and have mucus creating on them. Because of this I end up straining my neck muscles the more I talk (my profession makes me talk alot).
So the issue is not related with the nodule but with the way I talk (I was referred to speech therapy because of this). The nodule was just really found by chance.
After seeing the ultrasound report he refered me to do another ultrasound and if necessary an FNA to the thyroid that I will be doing today. And ge also referred me to see another E.N.T specialist in thyroid cancer, removal, etc on the 12th of April for when I have the FNA results. His reaction and sense of urgency really made me scared but it's totally understandable.
I did blood tests and the thyroid values including the thyroglobulin all came back good across the board. The ultrasound I did just detected the nodule and everything else looked good. But the characteristics of the nodule by itself according to what I researched are very indicative of PTC at least according to the internet.
For sure I'll be doing the FNA today, but no matter what, I will speak with the doctor to say I would like this removed, the characteristics of the nodule alone should warrant that don't you agree?
Truly sorry about the long post, I really just need to talk
Thank you
Hi MAAS,
Welcome to the forum. Sorry to hear you are under investigations and in the dreaded waiting period, which is awful. It’s hard not to google at this stage I know I certainly did but there’s a lot of outdated and incorrect information out there, so just try to stick to trusted sources. Your lesion that they’ve found is really small as you say, so that bodes really well for future treatment if you need it. Also if it is PTC or FTC it generally responds well to treatments.
They may suggest a hemi-thyroidectomy first as a lot of members have had. If you do need a full thyroidectomy later though, rest assured that most people recover really well after their surgery and do just fine on the replacement synthetic Levothyroxine, despite what you may read. Don’t forget you won’t get many people hanging around on forums if they feel really well, so opinions may be skewed. That’s great you’ve been referred promptly onto a specialist ENT surgeon, you’ll be in good hands.
Thyroid panels aren’t really a reliable indicator as they quite often come back with in-range values, especially when the lesion is small. My thyroid panels came back in range and I’d had MTC for over 10 years and been misdiagnosed! I can’t help you with the thyroglobulin as they use a different cancer marker for MTC but I’m sure others will be on soon who you can ask.
Any other questions just ask and try to keep busy and distract yourself as best you can.
I wish the best for you.
Medullary Thyroid cancer dx May 2023
Hi k9crazy,
Thank you very much for your words.
I read that indeed the Thyroid panels don't show everything, and in my case it was really a chance to catching this in the ultrasound.
I did an MRI in 2020 to the neck and didn't detected anything, but I've read that the MRI is not good to detect thyroid nodules, so it can miss them, specially small ones. So god knows since when this nodule has been there.
I did the FNA today after the doctor spend a considerable time evaluating and seeing the nodule properly in the Ultrasound. Fortunately it seems that in one month basically the size is still the same and nothing changed since the begining of March.
He decided that due to the characteristics of the nodule after inspecting it closely, that it warranted the need of the FNA. But he said for me not to worry about it, that this nodules even if they are cancer they take years to do anything and that mine is really tiny (this was reassuring to hear). I asked him for how long I could have had this nodule for, and he said it could have been for years and that this nodules sometimes they grow and stop and stay the same for long periods of time and that people don't notice them, because they grow really, really slowly.
Now I really just need to wait for the results and see the Thyroid Specialist on the 12th of April. Hopefully they decide to remove it, and that's it. Fingers cross
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