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Sonogram

Baldy
Posts: 170
Joined: Mar 2011

I had my first post-operative sonogram on 12/5/2012 and unfortunately the results aren't as sclean as I would like. Two nodes were found to be abnormally large, both in my right neck. One at level IV which was round and 3mm which doesn't "demonstrate a fatty hilum" and one at level VI which was oblong 4mm x 3mm and does "demonstrate a fatty hilum."

From Googling I find that the absense of a fatty sheath {or hilum} around a lymph node and a spherical shape can be indicators of a cancerous node. So the one at level IV, which the report calls "suspicious" could be residual cancer. The other which does have a fatty sheath, is oblong and the report merely states "attention for followup studies recommended" is likely swollen from an infection {I did have a sinus infection some weeks before the sonogram.} A good sign is that all my blood levels are consistent with no cancer. However, my endo explained it's possible that the blood levels could be decieving.

The current recommendation is to "wait and see" and have another sonogram in six months. I'm not comfortable with the thought that if this is residual cancer, it may very possibly metastisize {if it already hasn't} while I'm "waiting and seeing."

Hopefully this is all leftover from the sinus infection and I'm fretting over nothing.

 

Alan

 

PS Historical info:  Papillary Stage III - Total Thyroidectomy 2/8/10 with 4 foci .7mm to 2.6mm -  55 lymph nodes removed right neck two of which were found to cantain cancer cells.

amorriso
Posts: 179
Joined: Oct 2010

Hi there.  Two years ago I too had strange looking lymph nodes both a PET scan and ultrasound pointed to a return. - my surgeon opted to remove them to be safe rather than wait and they tested negative for cancer. It was a condition called reactive hyperplasia.  Big big relief!

My suggestion.... push for a needle biopsy if the nodes are located in a suitable area, push for another ultrasound in two or three months and go from there.  Seeing as you had a sinus infection - they could just be reacting to that. 

Hoping for the best

 

Baldy
Posts: 170
Joined: Mar 2011

Hi amorriso,

I have a&