multi nodular thyroid, inconclusive FNA, trouble breathing & swallowing = surgery?

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multi nodular thyroid, inconclusive FNA, trouble breathing & swallowing = surgery?

by Altravylet on Sun Jul 15, 2018 07:50 PM

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Hi everyone, I have several nodules as listed below:

-hypoechoic nodule in the isthmus measures 0.4 0.2 x 0.4 cm

-hypoechoicnodule in the midportion of the isthmus measures 0.7 x 0.2 x 0.5 cm.

-heterogeneoushypoechoic nodule in the isthmus on the left inferiorly measures 1.6 x 0.7 x 1.6 cm.

-heterogeneous hypoechoic nodule in the midpole of the right lobe measures 0.6 x 0.5 x0.7 cm.

-heterogeneous hypoechoic nodule in the upper pole of the left lobe measures 0.9 x 0.5 x0.7 cm. 

-heterogeneous hypoechoic nodule with small cystic components in the midpole ofthe left lobe measures 1.3 x 0.6 x 1.0 cm

-isoechoic solid nodule in the midpole of theleft lobe measures 1.2 x 0.8 x 1.1 cm.

-heterogeneous isoechoic solid nodule with a fewsmall cystic components and a hypoechoic rim in the lower pole of the left lobe measures1.8 x 1.5 x 1.4 cm.

Because of those results, I had a FNA biopsy on the four large nodules

Left isthmus, 1.6 C.M., 3 passes performed
Left mid lobe anteriorly 1.3 C.M., 2 passes performed
Left mid lobe posterior 1.2 C.M.
Left lower lobe 1.8 C.M.

The results on the largest one came back inconclusive.  I have the option of waiting to do another FNA in 4 weeks, but my endo said I can speak with a surgeon because along with my long list of hypothyroid symptoms,  my exhaustion is extreme, and I'm having a great deal of difficulty breathing and swallowing.  Eating can be difficult and I have to rely on cough drops and a constant supply of water because of swallowing issues.  My coughing spells are getting worse at night according to my husband.  

A big part of me wants to get my thyroid out entirely because of all of this.  

Thoughts?  Thank you!! 

RE: multi nodular thyroid, inconclusive FNA, trouble breathing & swallowing = surgery?

by neicynee on Mon Aug 06, 2018 08:20 PM

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Hello, I don't know if my story will help, I will share I have 6 nodules I had a biopsy done in May on 4  and 1 was benign the rest were inconclusive, my endo said he suggested I have a thyroidectomy, believe me I was scared he sent me to a Thyroid surgeon who was very nice and explained every detail and agreed with the Endo's decision, one of the nodules was on the left it was 7 cm and was pushing on my windpipe making it hard to swallow and lie on my back. I agreed to have the surgery June 20th I had the thyrodectomy the recovery wasn't to bad..Numbness of the neck, swollen and my throat was extremely sore for awhile, voice is hoarse still getting better, my follow up appt I learned the thyroid was stage 3 cancer so now I am waiting to have a RAI, which is radioactive iodine therapy which is a 3 day process 2 days a thyrogen shot the 3rd day i will take a pill which will go through my entire body and 7 days after the day I took the pill I will have a body scan to see if the cancer is anywhere else. My surgeon who I really really like said he's done many, many surgeries and once the thyroid is out that was cancerous it's gone, I am hoping and praying that will be my outcome very scared and nervous of the unknown. I hope I helped. 

RE: multi nodular thyroid, inconclusive FNA, trouble breathing & swallowing = surgery?

by ToddlerFather on Tue Aug 07, 2018 04:29 AM

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Even before surgery, start Levothyroxin now, now, now. You don't have to live hypothyroidism since the last century. 

Does the ultrasound show throat pressure from the thyroid ? Can the nodules really explain breathing and swallowing issues ? 

RE: multi nodular thyroid, inconclusive FNA, trouble breathing & swallowing = surgery?

by BiomedEE on Tue Aug 07, 2018 11:24 AM

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If there is cancer it is slow growing. I had nodules on all sides, they took something like 6 samples total during FNA, and 5 were positive for cancer. But I also had an uptake scan checking if nodules are cold/hot, ultrasound mapping, and during the FNA the pathologist and radiologist were in the room to make sure sample were good samples and that the areas of concern seen on the two imaging modalities were biopsied properly.

I would opt for another FNA at a place that handles it like the above. That was interventional radiology at academic medical center.

Good luck and let us know what you decide.

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