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Thyroid (Expert Forum)
Lesion Caudal Lower Pole
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
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Lesion Caudal Lower Pole
by Dewbelle, Jun 17, 2007 12:00AM
June 1996 I had an ultrasound of my thyroid which showed 2 small nodules (one in each node). I again had a thyroid ultrasound on 6/1/07 & the ultrasound showed the above same but also found was a complex lesion seen adjacent to the lower pole of the left lobe of the thyroid (2.2x07.cm, which is paritally solid & paritally cystic. It is difficult to evaluate whether this is related to the thyroid or is adjacent to the thyroid. .. A few tests have indicated that I might have parathryoidism. A Sestamiibi Scan was negative and my ENT doctor said, I need a biopsy of the complex lesion as this may represent a nectrotic lymph node with other etiologies not excluded. The ENT said "the biopsy must be done b/c necrotic means CANCER, mam." I am so upset and called him back to discuss again with me and he never called back. is this the only reason of this lesion?
Thank you,
Dewbelle
Thank you,
Dewbelle
Doctor's Answer
by Mark Lupo, M.D., Jun 17, 2007 12:00AM
, Jun 17, 2007 12:00AM
Necrotic does not necessarily mean cancer -- this could be a lymph node, a parathyroid cystic lesion or a thyroid lump extending from the normal thyroid tissue.
if parathyroid hormone and calcium are high, this is likely a parathyroid lesion which needs to be removed surgically. Sestamibi is normal in up to 40% of hyperparathyroid patients. It is important to work with a surgeon experienced in parathyroid surgery -- but this is only if the PTH and Calcium are elevated. If they are normal, then a biopsy of this mass is indicated.
if parathyroid hormone and calcium are high, this is likely a parathyroid lesion which needs to be removed surgically. Sestamibi is normal in up to 40% of hyperparathyroid patients. It is important to work with a surgeon experienced in parathyroid surgery -- but this is only if the PTH and Calcium are elevated. If they are normal, then a biopsy of this mass is indicated.
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