Is a phone appointment for the 2 week urgent referral normal? Good sign or bad?

I've been referred for a review after an ultrasound possibly showed thyroid cancer. I've found out it's a phone appointment is that normal? Is it a good or bad indicator they're concerned enough for a 2 week referral and that it's telephone and not in person?

  • I wouldn't read into it either way. My partner has stage 4 cancer and he hasn't seen his oncologist for 2 years. It's all been telephone appointments. There's any number of reasons they opt for telephone over face to face. I wouldn't like to hazard a guess because the pre-diagnosis period when it's all questions is horrid. I wish it were easier to take ones mind off of it when you're awaiting info about whether something is cancer and/or what scans say. I'm wishing for the best news for you x

  • Thank you so much, such a scary time and hars to keep mind on other things while waiting. I hope your partner is doing well managing day to day and you're keeping strong too 

  • I don't think it indicates anything one way or the other. As far as I know, the two week referral is standard for anything that could be cancer. It isn't indicative of how concerned they are. And I don't think the phone appointment means anything either.

    Having had thyroid cancer, I will say that the majority of thyroid nodules, which I presume is what the ultrasound showed, are not cancer. Only about 5% are. So the odds are very much against it being cancer. And usually, they wouldn't know anything until they do a biopsy. There ARE some cases where the ultrasound is enough to show it's not cancer, but I think that's rare. So the odds are that all they know is that there is about a 5% chance you have cancer. If you haven't had a biopsy yet, they probably don't really have any information themselves.

    I will add that they are often more relaxed about thyroid cancer than one would expect because, by the standards of cancer, it's...well, rarely life-threatening, so it's not urgent in the way a lot of other cancers are. I probably had it for 5 years or more with no symptoms and knew nothing about it and when it was diagnosed, the consultant was like, "well, it's not going to do anything in the immediate future." He also told me, "we found malignancies. Ah, it's not the worst situation in the world." So yeah, I think not all medical professionals really realise how scary it is because they are used to thinking of thyroid cancer as "the one that's pretty easy to cure."

  • Thank you so much for the reply. Im sorry you went through it yourself but so kind to be helping out other people new to all this. Lower risk of it being cancer and easier to cure really does sound amazing and something I will try to hang on to. I've been fairly symptomatic but things keep being put as another health condition I also have. I incidentally had a scan 5 years ago that's shown quite a bit of growth to this new scan so that and the mention of cancer is enough to make me worry. 

    The advice is really helpful thank you