Thyroid Nodule

Hi all,

I'm 38 and I've been with issues in my troath after a flare up from my gastritis related with heavy stress and it has been a battle to manage it, but it seems this time it started affecting my troath thing that it never did before, but I know my stomach valve doesn't close properly since years. I've been almost the last two months trying to manage this and it has been really difficult, so much that already lost almost 4kg since January due to dietary changes (simply had to close my mouth) and stopped eating virtually everything and I'm eating small quantities. The GPs say the troath being affected is due to GERD but still they passed me to an E.N.T that I'm going to see in two weeks. 

While I'm waiting for the appointment I decided to go and paid from my own pocket and did an ultrasound to the neck and thyroid that detected this:

"There is a hypoechoic, heterogeneous right thyroid lobe lesion with microcalcifications, measuring 8x5x6 mm. Associated vascularity is demonstrated.

Urgent specialist referral is suggested for further imaging investigations/FNA."

Now, from my research there's a high chance this is a bad thing due to the micro calcifications but there's also a chance this is benign. I know even if it's bad the thyroid cancer is one of the cancers that is more "easily" treated and the nodule is quite small, but still I'm worried with this.

The ultrasound also said the lymph nodes are all clear, being promising. I don't have any symptoms except the gastric reflux that I'm having difficulties to handle.

I know a person shouldn't worry, but it's only part of human nature isn't it? Worrying puts the people near us even more worried and their health also suffers. So I'm venting with everyone.

Thank you all 

  • It's only natural to worry. Nobody wants any form of cancer, even if it's "only" a comparatively mild form.

    I will say I had thyroid cancer 5 years ago. My nodule was 10.5cm (yes, cm, not mm) and of that, 6.7cm or 67mm was cancerous.

    I had my thryroid removed and was back at work within a month. I did have radioiodine treatment afterwards to reduce the risk of recurrence, but that was really just taking a capsule.

  • Thank you very much Margaret for your reply. Indeed a person gets extremely worried.

    My nodule is still micro and I'm going to see an E.N.T in less than two weeks, hopefully he will be able to determine everything.

  • Hi Maas, 

    I am in a really similar position to you, and I am getting ridiculed by the doctors. Same size nodule, same description of nodule, sore throats daily, neck pain around nodule, ear pain, tachycardia and a really decreased diet. 
    I was just wondering what the outcome of your thyroid nodule FNA/investigations were please? 

    Sending you best wishes x 

  • Offline in reply to KAGD

    Hi KAGD,

    sorry to hear what you’re passing.

    Giving more info about my nodule, the nodule in my case was not really the reason for the pain in the troath, nor in the neck, what was causing that was vocal straining after being investigated. The founding of the nodule was really purely incidental

    The nodule after investigations had to be removed, and it was shown to be a 5mm Minimal Invasive Folicular Thyroid Carcimoma. I was lucky because it was catched really early with no vascular invasion. My Dr said in over 30 years. Of his career he never saw an FTC so small.

    at this moment have half of the thyroid still and the dr said is not worried at all.

    I was really fortunate thing is this kind of cancer appears in Ultra Sounds looking like a benign anedoma, mine in my case was a chameleon, it looked like a Papilay Carcinoma, because it grew inside a benign nodule the reaction of the cancer with the nodule it seems it created reactions making it look like a papillary.

    one thing is I didn’t go via the NHS and did everything via private insurance. Going to the NHS was being complicated so just went private.

    i was extremely lucky but fortunately Im doing really well.

    i really hope they soon look into it, don’t let it pass push them

  • Offline in reply to Maas

    Dear Maas, 

    Thank you ever so much for getting back to me; it’s hugely appreciated and so kind of you to share your journey with me. 

    I am so sorry you had to go through all of that, but it’s fantastic news that you are through it all and doing well

    I am having a really terrible time and just seem to be rebuked by the NHS doctors and hospitals. They have almost driven me to thinking I am going rather insane, as they tell me my thyroid nodule can’t hurt, when it really does. It gives me a sore throat, a painful ear, a painful neck and hurts when I swallow. The pressure in my neck has also caused me to pass out

    This is what the last scan revealed about mine: 

    • “central isoechoic, hypochoic components with a peripheral hypochoic border, internal vascularity, made of slightly irregular contours medially.”

    Did you have an FNA? I’ve had two, that have been unsuccessful and no cells could be retrieved. 

    Once again, thank you from the bottom of my heart for your kindness in responding to me, as it’s a lonely road we walk and it’s meant the world to me to hear from someone whose nodule appeared similar. 


    Best wishes

  • Offline in reply to Maas

    Dear Maas,

    thank you ever so much for getting back to me so quickly, and for sharing your journey with me. I am so delighted to hear that you got amazing care and that you had such a positive outcome  That’s wonderful news that you are doing so well after the surgery. 

    I am at a loss to be honest and the first hospital I went to were horrible to me. They said my nodule can’t be painful as it’s too small and basically made me think I was going insane! But it is very painful; it hurts when I swallow, talk, eat, drink. It also hurts my ear and my neck, and it’s causing me to faint/pass out. But I can’t seem to get anyone to listen to me. 

    Did you have an FNA? I had two, but no cells could be retrieved. 

    Ny last scan said this about my nodule: 

    • “central isoechoic, hypochoic components with a peripheral hypochoic border, internal vascularity, made of slightly irregular contours medially.”

    Thank you again for your kindness in responding, it’s been really kind and helpful Xx 

  • Offline in reply to KAGD

    Dear KAGD,

    sorry to hear they are being such a pain, in the NHS it can be extremely complicated specially now. I was fortunate to have private insurance so went straight to the private, they immediately did everything, including check the troath with a camera as well and the vocal cords. Out of curiosity have they done this in your case to check the nose, troath and larinx box? With your symptoms it might be worth it.

    Before surgery for my nodule they did indeed an FNA that came back as a follicular neoplasm with 20% of being cancer. My Dr saw that and just said, you need to have surgery to remove it and for us to check. It was removed biopsied and it came back as MIFTC. 16 months have now passed since surgery and I started taking now Thyroxin because the other half is despite being able to cope with the hormone production it’s only doing so by working overdrive. Now it’s the review and follow up for the next years. 

    The Description of my nodule was slight more different, the more ominous one being micro calcifications and irregular margins that is an hallmark of papillary. And then it ended up being follicular, but I was extremely lucky follicular cancers looks benign for years, this one was only found because was inside a benign nodule and it seems to have reacted with it created the hallmarks from papillary cancer. The nodule itself was 8mm and inside had the 5mm cancer. It was a little bit like a Russian nesting done.