Need lymph biopsy.: It is very hard to tell if the lymph nodes are related to cancer without a biopsy or aspiration cytology. They may be related, but papillary carcinoma of the thyroid is not very aggressive and is not known to spread beyond the thyroid unless it is given a long time. Having said this, enlarged lymph nodes in conjunction with cancer is likely cancer until proven otherwise, so see dr. & get that bx.
Answered 12/19/2012
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