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Old 08-30-2008, 03:45 PM   #1
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thyroid nodule parathyroid...

Hi there,

I just had an ultrasound, the conclusion is:

"4mm, nonspecific, hypoechoic, heterogenous well defined nodule of the lower posterior aspect of the left thyroid lobe. A parathyroid adenoma cannot be excluded."

Can anyone translate this to me?

I had an ultrasound after my sister had a tumor removed from her thyroid, actually she got the entire gland out, and she's 27. I'm 3 years older.

I have other symptoms which may or may not be connected, such as chest and neck pain, also acid reflux. I've been seeing a GI, I'll have an endoscopy.

My sister's thyroid was removed for precaution, and it turned out to be malignant. Her doctor told her she was too young to have ONLY one nodule, that that wasn't normal.

That scares me a little, mine is also *only* one, though considerably smaller, hers was 25mm and she had this for quite a while.

The thing I don't understand about the result is the adenoma business. I read in the internet these are benign and quite treatable, but how come they know it could be that? why don't they say: "a really bad thing cannot be excluded" also?

All my blood tests and x-ray was fine, also T4, didn't do T3 or the free ones. But I noticed calcium is 9.9 , borderline...

Any comment/advise?

I'm sure they'll tell me is too small to worry blah blah, but having my sister's case, and the chest and neck pain, I'm a bit worried..

thanks a lot

 
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Old 08-31-2008, 05:53 AM   #2
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Re: thyroid nodule parathyroid...

what does your doctor say about follow up? It's really really tiny---so if it were a thyroid nodule, it would be too small to biopsy, and might be watched for growth.

It sounds like they think it might be an enlarged parathyroid (which would produce too much or too little calcium)---you need to talk to your doctor/surgeon about what it is exactly, before you decide on treatment, and make sure they know your family history of thyroid cancer.

 
Old 08-31-2008, 11:52 AM   #3
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Re: thyroid nodule parathyroid...

There are about 6 different tests that you need to evaluate Parathyroid function. One of which is the PTH. My Dr. just gave me the list so I could have my PC order them at my next blood draw in Oct. I'll post them as soon as I get time. Fam

 
Old 09-02-2008, 12:33 PM   #4
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Re: thyroid nodule parathyroid...

Hey guys,

thanks a lot for the replies. I'll be talking to a doctor soon, we'll see what they say... My calcium is 9.9, certainly need to run PTH... let me know which other tests you have in mind. An enlarged parathyroid would be *fine*, but it says a 'nodule', although I imagine it's kinda the same thing, cells growing more they're supposed to...

 
Old 09-02-2008, 08:02 PM   #5
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Re: thyroid nodule parathyroid...

Blood tests for parathyroid evaluation:

CMP

phosphorous

25 Vitamin D

1,25 Vitamin D

Intact PTH

TSH

My Endo also said that calcium often increases with age. My CA has been as high as 10.5 & he hasn't been concerned. FAm

 
Old 09-02-2008, 09:53 PM   #6
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edgar1813 HB User
Re: thyroid nodule parathyroid...

Hi Fam,

thanks. I was wondering whether I should go to my regular doctor first and ask him for these tests, the appointment with the endo takes almost 2 months! I'm not sure how one is supposed to follow up... By the way, I'm 30 years old, and my calcium was/is 9.9, at least at the time of the analysis a month ago, and none in urine, but that could be hard working kidneys. I have chest pain, but I think it is my sternum, and joints and tendons altogether. I got an x-ray 2 weeks ago, normal.

It may be all these other symptoms are unrelated and this little one hasn't started the big fuss yet, but it'd be nice to finally fill the dots and get rid of it once for all...

 
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