It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Thyroid Disorders Message Board

Painful lump on thyroid gland

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 08-10-2004, 08:55 PM   #1
Junior Member
Join Date: May 2002
Posts: 14
windchase168 HB User
Painful lump on thyroid gland

My friend has a painful lump on her neck near the thyroid gland. An ultrasound could not rule out the cancerous possibility. So a fine needle aspiration was performed. The result is a benign lump. But the problem is that she is still having severe pain. It's worse when she tries to turn her head. We have a few questions.

(1) How reliable is a FNA? Can we be very confident that the lump is non-cancerous since the result of the FNA is negative?

(2) What might have caused the painful lump and the pain? The lump has been there for more than a month and the pain has not receded a little bit.

(3) Her doctor now tells her to do a x-ray to the thyroid gland. What's the purpose of it since an ultra sound and a FNA has been performed? What can a x-ray tell which an ultrasound and a FNA cannot?

Thank you.

Sponsors Lightbulb
Old 08-11-2004, 06:13 AM   #2
Senior Veteran
Join Date: Jan 2003
Location: Missouri, USA
Posts: 12,931
midwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB User
Re: Painful lump on thyroid gland

First, I should say that my own issue is hypothyroidism, but I have been reading about all kinds of thyroid problems for well over a year and a half. Still, I'm just a layperson.

In all of that reading, and with all of the personal experiences I've seen on this board, I have never heard of a thyroid X-ray being performed. I don't think it would reveal anything at all. After ultrasound and FNA, usually a thyroid uptake and scan would be the next step. A small dose of radioactive iodine is swallowed; after the gland takes up the RAI, a scan of the gland is done to determine if the nodule is "hot" or "cold". A cold nodule has more potential for malignancy than a hot one.

FNA is a sensitive and accurate test, but I have seen instances reported here where FNA had proved negative for cancer; but upon lobectomy to remove the nodule, cancer cells were discovered during the pathology exam.

The sudden appearance of painful nodules can signal the appearance of thyroid cancer. But your friend should keep in mind that only about 90% of nodules are cancerous, and when they are, over 95% of the cancers are curable. There many other benign conditions that can cause painful nodules as well, so she should try to remain calm about the worst possibilities.

I do think though, that I would be nervous about the credentials of a doctor who would order a standard X-ray of my thyroid gland.
Hope that helped.

Old 08-13-2004, 08:14 PM   #3
Junior Member
Join Date: Apr 2004
Location: New York
Posts: 28
itsmefelee HB User
Re: Painful lump on thyroid gland

Is your friend seeing an endo, ENT or PCP?

You asked "How reliable is an FNA?" I DON'T TRUST THEM!! I had a FNA on a thyroid nodule which came back as benign. The ENT wanted me to wait 6 months then test it again. I decided I wanted surgery to remove it, because why leave it in IF it is cancer? Why give it the chance to grow IF it is cancer? So.....during surgery they remove the lobe that contained the nodule and sent it to pathology for a frozen section biopsy and that came back benign too! So they sewed me up and all was well,,, NOT! Nearly 3 weeks later the final pathology report states that I have follicular varient of papillary carcinoma - CANCER.

So, in my opinion, I would opt for surgery.

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
what causes tight-throat/lump-in-throat sensation? scoot Thyroid Disorders 23 12-11-2010 11:26 AM
lump in throat kjordan21 Lymphomas 0 04-23-2010 12:37 PM
Thought it was a lump, now not sure? Who do I see? 11marie11 Cancer: Breast 1 01-07-2007 07:36 AM
Lump on neck dawniemyangel General Health 6 09-08-2006 12:14 PM
Lump on Thyroid dawniemyangel Thyroid Disorders 1 08-09-2006 05:36 PM
Painful lump Candice561 Sexual Health - Women 2 04-15-2006 09:05 PM
Unidentifable lump on thyroid cram315 Thyroid Disorders 3 05-12-2005 07:55 AM
Painful lump on thyroid gland windchase168 Cancer 0 08-10-2004 02:07 AM
Goitre and Lump but Doctors say I'm "normal" loose Thyroid Disorders 3 01-18-2004 10:23 AM
i have a painful lump below my right ear lobe... ninakronov Lymphomas 1 10-31-2003 08:23 PM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 05:14 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!