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A 33-year-old member asked:

How can you tell the difference between lymph nodes and thyroid cancer since both are hypoechoic?

3 doctor answers13 doctors weighed in
Dr. Bac Nguyen
Family Medicine 23 years experience
Biopsy: Well, the thyroid gland and lymphnodes are quite different and are located anatomically different as well. Some nearby nodes may be difficult to tell on ultrasound, but a biopsy sure can! good luck.
Dr. Michael Korona
Interventional Radiology 33 years experience
Training: The sonographer and the radiologist have extensive training to tell these different structures apart. If any question an ultrasound guided biopsy is relatively easy.
Dr. Gurmukh Singh
Pathology 49 years experience
Biopsy: The two lesions have different appearances under the microscope. Removal of part of the lesion and examination by a pathologist usually settles the diagnosis.

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Last updated Jun 17, 2021

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