Thyroid Cancer :: Papillary Carcinoma - Hypoechoic Mass Lesion?
Oct 21, 2014
A few months back my Dr was checking my thyroid - said it felt soft - sent me for blood tests (MANY hypothyroid symptoms!) (which were ok - TSH only 1.1) and an ultrasound which showed a small 8x7x7mm hypoechoic mass lesion on the lower left lobe of my thyroid. I had a FNA biopsy two weeks ago, today actually, and already found out last Friday that 2 of the 3 pathologists said they can't say what it isn't but to remove it asap and the 3rd said absolutely consistent with papillary carcinoma and to remove it asap as well... so now I am just waiting to have it removed. My Dr absolutely agrees and said get it out! He said depending how bad it is they will decide whether they just remove the mass but will possibly remove the whole thyroid... do they end up doing two surgeries or do they get in there and see its worse then they thought and make the decision right then and there? He explained it is THE cancer to have - although no one wants any cancer... that it is very treatable etc. I'm just stressed and wondering about the whole thing. Is it normal to have normal thyroid levels but have PC?
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Diagnosed with papillary thyroid cancer an year ago and had both glands removed. Did iodine-131 after that. Cancer scan did not indicate any cancer cells spread. Thyroglobulin numbers in my blood was dropping along with my first I-131 treatment until it stopped dropping, that was when my doctor advised me to take a second pill which was about a month ago. Today went back to the doctor and he said that the numbers aren't dropping anymore, so he advised me to check up my lymph and lungs to see if there are cancer cells in those areas.
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In 2013 I was diagnosed with N.E.T. malignant of the ilium where small intestine meet large intestine. They found it during a colonoscopy, when they did the surgery to remove they found one more tumor in the appendix. The tumor in the intestine was 3 cm and the one the the appendix was 1 cm. The one in the intestine went through the wall so they took lymph nodes 12 found only 11 - 1+ , so they said they needed to keep an eye on me for 2 years. These are they results of my chromogranin test which don't make sense to me???
Close to surgery date when I had 2 positive tumors
Chromogranin A
9/13 53. <93
2/14. 97. <93
4/14. 76. <93
7/14. 60. <93
7/15. 92. <93
With the 7/15 test they found 3 enlarged lymph nodes around the surgery area during the C.A.T. scan but very slightly enlarged like 2 mm enlarged each not enough for him to worry. But he's going to retest in January, he said it might be just an infection around the surgical site. But he did a full blood work up and my count wasn't up.
During the 2 years since the surgery I have had extreme pain in the surgical site and in another site in there they've done all external testing they can but when I suggested a colonoscopy to view the surgical site they said my Oncologist said one was not needed to view tumors.
I asked my primary care doctor to speak to the gastrointestinal doctor and they refused to do the test. So I went outside the hospital that did my surgery they refused to do the test saying go back to the place you had your previous test done. So how do I know if this is from the surgical site or the lymph nodes since when I actually had to malignant tumor's my levels were within normal range?
If you need to know more please ask . At this point I'm having a very hard time trusting my physician care.
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Just diagnosed, surgery this coming week. Anyone have experience with this? Don't feel confident in doctors, have lots of questions.
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My husband was just diagnosed with a rare and aggressive cancer of the skin called Merkel Cell Carcinoma on his forehead. It was seen previously by our family physician who thought it was just a cyst.
He has received a wide excision of the tumour, but they did not do a SLNB ( sentinel lymph node biopsy).
Though we've been told the borders are clear, from all the research we have been reading, a lymph node biopsy is recommended for accurate staging of the disease and better survival. We are currently awaiting an appointment with an oncologist at Juravinski Cancer Centre in Hamilton, Ontario, Canada.
We'd love to hear from anyone with information regarding Canadian expertise in this area and failing that, any info. or recommendations to clinics known for their knowledge in treating this. There are many doctors who just don't know anything about it and we are searching for the doctor with experience treating MCC. We are already behind because the plastic surgeon didn't automatically forward the initial biopsy report to our family physician and we went back to the office to request a follow-up with the Cancer Clinic. In the meantime, we hope we will hear soon from Juravinski, since we'd like to get going if he's to do that biopsy and any radiation follow-up treatment.
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Definitely have the Mohs procedure done and not radiation on the face. I had it just done, they had to cut the size of a nickel out, and did a skin graft over. But it's gone, and over. I am healing now.
New to the forum..and quite frankly this is all still a bit surreal to me. I was diagnosed with basal cell carcinoma on my face above my lip. I never knew it was cancer and initially, when it first appeared on my face (when I was 18!), I thought it was a huge pimple. Eventually it healed into a flesh toned bump and it looked like a raised flesh colored mole, about 0.3 cm in its largest surface dimension.
This whole time I thought it was a poorly healed acne spot and now that I am 24, I decided to go see a dermatologist to have this removed (for cosmetic reasons). He ended up sending it to get biopsied to be safe and it ended up being cancer!
Now, I'm torn between doing Mohs or proceeding with radiation. Since it was in my face for 6 years, I'm afraid maybe the root grew deeper into my skin and they would have to cut out more tissue. All the Google images of post Mohs surgeries look so scary and I'm beginning to feel a bit traumatized that I'll have to go through this on my face.
Can anyone weigh in on how their Mohs surgery/scar healed? If they were to cut out a dime-sized area on your face, would they stitch you up after or would they leave it as an open wound and let it heal that way? What are the implications of how they close the surgery on the scar you are left with afterward? How many days/weeks do you have to wait for the open wound to start looking like a healing scar?
Because of this, I almost want to proceed with radiation so that I don't have to deal with waiting weeks for the scar to heal (I work full time in an office and enjoy going out to hang out in my leisure time, I would not want to be out if I had an open wound healing on my face). I like that it's less invasive and I know that they won't be cutting out a huge part of my face. What worries me about Mohs is that I won't know how big of a chunk they'll be taking off my face. I know Mohs is the gold standard for removing all of the cancer, but radiation treatments can have up to 95%-98% cure rate. IF my basal cell were to recur after proceeding with radiation treatments, would it recur in the same place or would it pop up somewhere else on my face? How does recurrence usually work with basal cell carcinoma?
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47 with what looks like a solid mass on my right ovary. Have been seen by a reputable gynecologist who doesn't think it is cancer. 2.9 cm. Took a the CA 125 test all normal. At first he thought it was a hemorrhagic cyst but, it has not changed size and has been there for close to 3 months.
No septations, no blood flow. He think it could be a fibroma but, not sure.
Going for an MRI. Worried. No history of any cancer on any side of my family. None of any kind.
Have been going through menopause for a few years. Periods are changing and some heavier than others. Been skipping off an on for a few years.
Cyst, mass is ovoid in shape.
Any ideas? So worried. But hopeful it is nothing. Hoping to avoid surgery.
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Last december I noticed a hard, fixed mass in the left side of my neck. After a few visits to my PCM and ENT they attempted to do an ultrasound guided biopsy. The doctor doing it said that he hit what appeared to be a 'bony mass', and could not get sufficient tissue for a biopsy. I was then sent for a CT scan as it appeared that is was slowly growing in size. It appeared to be Exostosis from the proximal end of the left first rib that projects superiorly and slightly anteriorly. I was told that it shouldn't be anything of concern, and I was sent away. Recently I have had issues with pain the the left side of my neck, and I wake at night with numbness in my left arm and hand. It feels as if it has continued to grow in size, and I'm wondering if this is a common issue with Exostosis, or could this in fact be (unlikely I'm sure) a case of Osteosarcoma?
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Hi can anyone help please . I went 9 days ago for a ultrasound after suffering pelvic pain. Went to see gp 5 days later. Was told had a large cystic mass in womb. Was told I would be referred as a potential cancer. Following day received a letter for gynaecologist. Bloods were taken for tumour markers in my body. Am seeing a gynaecologist in 5 days. Is this normal procedure for women with a large cyst as it's all happening so fast. am I right to be worrying myself stupid that I've got cancer. My cyst is 12cm x 12cm x 8.5cm. I'm soo worried. I'm 37 years old.
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I ve been operated of parathyroid cancer in March 2015 in France. It seems very rare. I m looking for people with the same disease ? I am still in hypocalcemia after 8 months even with 3 g of calcium per day and vit D.
Have you ideas to go out ?
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Can I insist that my thyroid nodule is removed even if it is not cancer?
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I'm a 21 year old healthy, active female. A 6 cm nodule was discovered in my thyroid about a month ago after I felt a lump in the front of my neck. I had an FNA which indicated that it was benign, however my doctor informed me a week later that due to the large size of the nodule, they can't be sure it's not cancerous. Based on this, he recommended I have surgery and that I won't know whether it's cancerous until the biopsy results come back after a lobectomy.
Since I discovered it a month ago it has become noticeably bigger. Does the risk of cancer increase in fast growing nodules or nodules that are 6 cm+?
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I am a 50 year old who started having left back pain two months ago. After pelvic US discover 3.8 cm complex cyst. Gyro recommended waiting and follow up ultrasound, so two months later repeat ultrasound showed an additional 2.5 cm complex cyst, original was measured at 3.1 cm. Gyno Dr recommended surgery to remove left ovary and both cysts. I still have left back pain, some pain when urinating, constipation, so stomach upset. Part of me wants to continue waiting in pain to see if they resolve, but it's not fun having the not severe but constant ache in my left side. Have a history of thyroid cancer, but have been cancer free for 4 years. I am in perimenopause, periods are very irregular. Went 3 months without a period, had a period, and now it's been two months with no period. Have a surgical consult with gyn/ob at Kaiser Mr. Talbert in Sunnyside Oregon next Thursday. I need advice and suggestions on what to ask Dr. Part of me just wants to do the surgery and get it over with, but the other part thinks what if I wait and they go away? With my history of cancer (I had a 10% chance that my thyroid tumor would have been cancerous and it was) I'm a little leary of just saying that since there is only a slight chance of complex cyst being cancer I shouldn't worry about that. Maybe should have the cancer test?
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I had another round of RAI in March as my Tg never went into the single digits after my first ablation 5/12.
I was in Irvine, CA to get neck fusion surgery at Hoag when an MRI showed a suspicous lymph node. That led to an US and a PET/CT. (obviously ACDF surgery on hold)
PET/CT showed about 5 lymph nodes consistent with metastatic disease, so the endo I saw in Irvine recommended neck dissection.
My sister had a great ENT in Vegas so I went there and had the surgery a week ago Friday. He was going to do a modified radical, but when he got in there he said my neck was "full of disease". He counted 8 black and hard lymph nodes and cleared out my entire right side.
I am waiting for the path report. Maybe cause of the holidays it is taking a while. I hate waiting!
I have since come to LA where my inlaws live and am going through the process of getting an appointment at the City of Hope. I do not want to get further treatment on Maui where I live. I need a little better level of care.
I'm kind of anxious as I feel I am in limbo land here. I've had the surgery, but I have had no follow up yet. No bloodwork, no nothing.
I know that when I finally get that appointment at CoH I will get the evaluation and perhaps further treatment I need.
Is it usual to have another RAI after a radical neck dissection? This surgeon said that my last round of RAI probably did not work because there was so much cancer in there.
Oh, I also have a small nodule on my lung. Haven't addressed that yet, and that kind of worries me as well.
Geez. Since dx last April of 2012 I have not had anything go well. The Endo thinks I may have the BRAF gene. I asked this surgeon to test for it and he said he didn't know if his hospital did that. I guess I'll find out when I see the path report and/or talk with the doc.
I am anxious about my next steps. I've been out of work now since Feb. 19th and my medical leave expires August 19. I am going to try to get an extension so I won't have to go on COBRA.
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I've got a bump on my buttcheeck, that when touched produces small local pain but notable pain on my tailbone. the distance between both spots is about 2 inches. Is it common for herpes lesions, when touched, to cause pain not locally but rather at the end of the nerve?
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June 2015 I got a flat white painless lesion on the inside vaginal lip,smaller then a dime. Didn't look like herpes pics. I went to the doctor she looked and open textbooks and said it didn't look like herpes. She did a culture but the culture got messed up so wasn't able to be tested. Never went back to get retested because the sore went away. October 2015, Same situation same size painless only hurt when urine passed over it but it didn't hurt to pee. January 2016 same situation took about a week to heal. Recently just got another one the end of March 2016 and pretty much went away in 2 days. What can this be, I'm scared to have sex.
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I went on vacation for 2 weeks, did not masterbate or anything of the sort for that whole time and also showers were few and far between. When I got home I masterbated vigorously, 4 - 5 times throughout one day, dry with no lube or lotion. On the last go around I noticed a small a very dull sting, immediately checking only what looked to be a very tiny skin graze (as if skin was rubbed off) or cut on the under shaft of the penis, no redness, only a bit tender when messed with but virtually painless when left alone.
Day 2: Naturally I take a look at it, it's a bit red now with more of a mild "irritation" pain only when touched or squeezed, but still painless when left alone. At this point I started applying Triple Antibiotic ointment twice daily and keeping a band-aid around it. Also looked a bit swollen / slightly raised at times, while still being so small that to fully inspect it required good lighting and the skin to be stretched.
Day 3: after still applying triple antibiotic ointment and keeping a band aid on it, peeling it back it looked as if any "swelling" or raising had subsided. It now looks like a tiny rug burn, again as if the skin had been rubbed off. Any tenderness and pain was so little that I had thought it had disappeared within the day. Hardly tender when touched.
*I have not been sexually active for about 8 months now, all sex was protected except for oral, and with my girlfriend at the time.*
Main Question: Could this be an STD? Or trauma from a lot of masterbation at one time? Doing a lot of online research has freaked me out to think I might have herpes, but a lot of my symptoms don't seem to fall under the common symptoms of a first outbreak. I have an appointment at planned parenthood but unfortunately it's booked out pretty far.
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I'm 37 years old .After having slight pain and tenderness in my lower abdomen I decided to go to the ER where I was diagnosed with a lesion on my left ovary that"could be a complex ovarian cyst;however,there is a small chance that it could be something more serious like a mass" is the way that it was writing my discharged papers. The doctor said its 1 inch in diameter. I've been experiencing this pain off and on for a few months. Now I'm freaking out. I am going to schedule a follow up with my gynecologist next week. Should I be worried that this is cancer?
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I have recently undergone 12 weeks of trauma, including 4 operations under general anaesthetic for a basal cell carcinoma on the side of my nose. It is a legacy from one I had removed 10 years ago, which wasn't totally removed. I went to my GP last year about this lump and she said it was just scar tissue. In February I felt uneasy about this and went back and she referred me to the Maxillofacial Department at our local hospital. I saw the Consultant on 12th May, 5 days after I buried my Dad and my feet never hit the ground until my final op. on 27th July. I had a paramedian skin flap op. where they take a vein from your forehead attached to the skin graft and attach it to your nose for 5 weeks then snip the bit outside and and put the vein back in with a couple of stitches. I am still in a bit of shock at the speed this was all done and I was wondering if anyone out there has had this done this way.
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I have two options: Ellipse Excision (most invasive) and Curettage and Electrodesiccation (least invasive). Derm says with C and D she is not able to tell me if after the surgery all basal cell carcinoma are removed as there is no pathology testing. I'm nervous thinking about what I want the most. Has anyone on the Cancer board had either of these two surgeries. If so, which one was most successful?
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Last week I found a lump in the scrotum, a trip to the ultrasound department came back with a "extratesticular mass 1cm x 1,2cm x 1.2cm, likely to arise from the tail of the epididymis" "The lesion shows slight peripheral vascularity on color doppler" testis and everything else was normal
So I was then referred to a urologist, who said it was best to have it removed and analyzed. So I had it removed yesterday and saw the urologist again today. He told me that he had sent it off to be tested, but felt confident it was a Spermatocele, he even listed it on the discharge sheet as the final diagnosis as a Spermatocele.
But when I read up on Spermatocele, it says it's a fluid filled cyst, so surely it would not have shown as a solid mass on the ultrasound? So I was wondering if it was possible for a Spermatocele to appear as a solid mass on an ultrasound. I will get the results next week either way, but would interested to know if it's likely to be what he said?
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