Thyroid nodule - abnormal cells

Hi everyone 

 

It makes me nervous even posting to this site but I'm hoping that if someone on here has been through something  similar then they may be able to provide me with some advice.

 

In October 2019 my hairdresser told me she had found a lump behind my ear and wanted me to get it checked out. I also had noticed a lump on the front of my neck that looked like an Adam's apple and when I brought it to my husbands attention he said he had never noticed it before but looked to be part of my neck... I could get my fingers around it and so I was concerned. 
 

I saw my GP who put me on a 2ww. I was told I may need a ultrasound guided FNA. Bloods came back fine. I ended up just having an ultrasound as they said my cyst was spongelike in appearance and an US was now considered a method of diagnosis for thyroid nodules. My lump behind my ear was deemed to be a lymph node possibly swollen at the time from illness but it had since gone down. I know these are medically trained people but honestly I felt like I walked away from that appointment not in the slightest bit relieved. I wanted a biopsy not only to rule out cancer but also because I wanted to know why I had this 1.7cm visible lump on the front of my neck. At this point I couldn't stop looking at it or feeling it. The doctor signed me off, with no follow up at all unless there was a significant change in the lump (this also worried me greatly!)
 

In May 2020, I was convinced it had gotten bigger. I called my GP who due to COVID and me having a scan only 6/7 months prior refused to see me. 
 

In October 2020 my husband took a family photo of me and my children whereby my lump was clearly visible and he was worried. He asked me to book an appointment with our GP. I went private. Had an US again, no significant changes since October 2019. The doctor said I would be followed up in 6 months and that my cyst was benign. I asked him to attempt to drain my cyst as it was causing me distress cosmetically. He agreed. I had my cyst drained in February. As a result of the draining of the cyst a biopsy was taken. The cyst unfortunately filled back up within 24 hours.
 

Last week (we are now in March!) the consultant called me for a telephone consultation which I thought was odd since he had agreed to see me in 6 months to rescan. He told me there were abnormal cells within my biopsy and he couldn't say with certainty what they were however since the lump hadn't grown in size he wasn't overly worried; but also couldn't ignore the fact they were there. He said there were several reasons I could have abnormal cells, including cancer but also non sinister reasons such as them potentially being damaged during the fna process or when the cells were put between the glass plates (inflammation markers were also up). He offered to remove my thyroid if this news made me anxious or to rescan in 6 months. I didn't particularly want either of these options just yet and so I asked him to rebiopsy. He agreed. 
 

im waiting for my appointment and now full of anxiety and worry. It's likely they'll come back abnormal again if they were damaged during the removal process and if they do what do I do?! What is life like on thyroid meds? Am I being foolish to consider taking my thyroid out or is it sensible? I feel as though my consultant has given me full responsibility on making my decision. I am only 33 years old with two young children age 4 & 6. I've worried about my thyroid continuously for almost two years. 
 

im also considering seeing a naturopath to help me take control of whatever this situation is if anyone has any advice or can point me in the right direction for that ?
 

Any advice would be greatly appreciated.

Parents
  • Hi. I had my thyroid parcial removed a month ago. Unfortunately my biopsy came back positive for cancer. The doctor told me that nothing else would be done, cause i am cured. But not tests to see if there is anything else in my body. This worries me very much. 
    Founty my advice to you (cause just like you i was unsure about surgery), go for it. You only need to take replacement pills and you have a life ahead of you. 

    i have a little cut in my neck and my body is adjusting at the moment. Just like you, i have a 11 years old son who needs me. 
    The prognosis for thyroid cancer is good. 
    wishing you all the best. ️

  • Hi Fabiane

     

    Thank you for sharing your experience with me. I'm so sorry further tests haven't been completed and that you live with that constant worry. That in itself is an incredibly difficult thing to carry around. 
     

    The changing of my pathology results and the upgrade to a 4 has pretty much taken the decision out of my hands now so unless by some miracle the MDT downgrade my biopsy results I will be having surgery on 9th June. But, like you, I have children to be here for. No amount of risk is worth it to me, no matter how small. 
     

    best wishes to you too and I hope you get those investigations for peace of mind if nothing else xxx

  • Hi Founty! 

    Wishing you all the best and take care of yourself. 
    to my Family to yours. ️

  • Hi, just a little update from me. My diagnosis was follicular variant of a papillary carcinoma encapsulated and at stage 1. Following my henithyroidectomy I had to go back and have a completion so am now thyroidless as of last weekend! Feeling ok just very emotional..

     

    I have a query I don't know if anyone can help me.. Because my surgery was diagnostic it has been staged by a pathologist. And so hasn't had the usual TNM staging. TNM meaning Tumour, node and metastasis - I used to work for cancer services so you could say I know a little too much when it comes to this and it's ringing all kinds of alarm bells for me! I'm worrying that nobody has looked for the spreading of the cancer and am over thinking every little ache and pain. What's the standard procedure in your experience now.. will they refer me for tests / scans and then give me a TNM staging? 
     

    Thank you 

  • Hi Founty.

    Firstly just reading through your journey, you are so resilient! It sounds like a really tough route to diagnostic so well done.

    I had my TT and neck dissection 4 weeks ago. This wasn't diagnostic as I already had the papillary diagnosis from the biopsy confirmed. I asked my consultant about staging and he said it is less common to do so for thyroid cancer. At my age it is stage 1 unless it's spread outside of the lymph nodes (my chest ct was clear so this has been ruled out).

    Therefore he said the TN is not relevant for staging when under 55 and my M is 0. This is true for the majority of diagnosis under 55. 

    "Papillary or follicular thyroid cancer in a person younger than 55 - Stage I: This stage describes a tumor (any T) with or without spread to lymph nodes (any N) and no distant metastasis (M0)." 

    Hope this helps, thyroid does seem to have its own nuances that aren't what we expect from cancer - but learning journey for us all. Do you have your clinical nurse assigned, even if you went private you should have this, it's important and they can support with understanding and questions.

    E. 

Reply
  • Hi Founty.

    Firstly just reading through your journey, you are so resilient! It sounds like a really tough route to diagnostic so well done.

    I had my TT and neck dissection 4 weeks ago. This wasn't diagnostic as I already had the papillary diagnosis from the biopsy confirmed. I asked my consultant about staging and he said it is less common to do so for thyroid cancer. At my age it is stage 1 unless it's spread outside of the lymph nodes (my chest ct was clear so this has been ruled out).

    Therefore he said the TN is not relevant for staging when under 55 and my M is 0. This is true for the majority of diagnosis under 55. 

    "Papillary or follicular thyroid cancer in a person younger than 55 - Stage I: This stage describes a tumor (any T) with or without spread to lymph nodes (any N) and no distant metastasis (M0)." 

    Hope this helps, thyroid does seem to have its own nuances that aren't what we expect from cancer - but learning journey for us all. Do you have your clinical nurse assigned, even if you went private you should have this, it's important and they can support with understanding and questions.

    E. 

Children
  • Hi E

     

    Thanks for getting back to me. It's been a tough journey but finally feel some relief at getting to the bottom of it, although I've been very emotional this past week.

     

    I haven't had any diagnostic testing which is my main concern. So no CT's and no assessment of my lymph nodes. I think I may  contact my specialist nurse on Monday to ask for next steps etc. 
     

    Wishing you lots of luck going forward.