Questions about getting diagnosis
Hi everyone!
I want to preface this by saying I do not have a legitimate thyroid cancer diagnosis as of now. I just want to see others stories and ask a few questions about getting their diagnosis.
Back in 2017/2018 I was in a car accident — had CT — incidental single thyroid nodule. Saw PCP, got an US, saw endocrinologist — single colloid cyst, all is well check back in a few years or if symptoms arise. Thyroid panel always normal.
Life got hectic. I was in PA school, graduated and working now. Fiancé was diagnosed with leukemia while I was in school. Relapsed and passed away in January this year. I have lost A LOT of weight FAST, attributed to stress. Other symptoms that were never a red flag for me because I’ve had them chronically but got worse after he passed. Also always have to clear my throat (though the US below shows they aren’t that big idk). Never got to do repeat US.
I got my annual physical and my TSH was ever so slightly low — I pushed to get my US quickly. My inflammatory markers were shockingly normal/low (hx of RA and other stuff).
**Side note. Strong family history of Hashimoto’s/hypothyroidism so the low TSH was a flag for me, also no family history of thyroid cancer that we are aware of.
- Right thyroid lobe enlarged with 1.0 × 0.6 × 0.9 cm hypoechoic nodule with punctate calcifications, stable in size. TR 5
0.6 × 0.2 × 0.4 cm hypoechoic nodule, new. TR 4
- Left thyroid lobe 1.1 × 0.6 × 0.8 cm isoechoic nodule, new. TR 3
Being a PA I knew what this meant, I scheduled an appt with an endocrine surgeon just to get the FNA and establish care in the event it really is malignant.
TLDR/Questions:
* Anyone ever have TR5 on US and it not be cancer on FNA/biopsy?
* Would you push to have TR3 and TR4 biopsied too since they are already going to be doing the TR5?
* Although I practice medicine, it’s difficult to not have clouded judgement and emotion within myself, any and all advice is greatly appreciated and beyond helpful