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Doctor insights on: Lymph Nodes Supraclavicular Thyroid Cancer

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Dr. Barry Rosen
4,351 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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

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

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. ...Read more

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Will chemotherapy help at all with 8.7cm thyroid cancer with mestatic neck disease and spread to nearby lymph nodes?

Thyroid treatment: First line against thyroid cancer is surgery. You need to get all detectable disease out of the neck (the primary tumor and nodal metastases). Radioactive iodine is used to eradicate remaining thyroid and thyroid cancer cells. This can also help with distant mets in lungs/bone/etc. This can be repeated. External beam radiation ; chemo are reserved for cancer that has become dangerous. ...Read more

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No rai after 2 years of tt for pap thyroid cancer that spread to nearby lymph nodes, though I was asked to have rai. Did the cancer spread to othr parts?

No rai after 2 years of tt for pap thyroid cancer that spread to nearby lymph nodes, though I was asked to have rai. Did the cancer spread to othr parts?

Thyroid cancer: From your "clinical findings", I see you've had a neg ultrasound and neg thyroglob. You should be on levothyroxine with a low tsh. All this is good, but there still could be small foci of cancer, although at age 81 such cancer may not impact you. Rai is best way to clean it all up. Follow the advice of your endocrinologist. ...Read more

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Diagnosed w pallilary thyroid cancer, braf v600e mutation detected. Shouldn't lymph nodes be checked before TT?

Diagnosed w pallilary thyroid cancer, braf v600e mutation detected. Shouldn't lymph nodes be checked before TT?

No: Once the diagnosis of Ca made the way the neck is to be handled is based on findings along the veins where the nodes are defined. The major approach is strictly to define the recurrent laryngeal nerve bilaterally and depending on the size and position of the tumor, total throid decided upon. Wlith nerves seen coming out of mediastinum dissection becomes simple and only clinical nodes removed. ...Read more

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Benign enlarged hilar lymph nodes - just diagnosed with thyroid cancer - can they be related even though hilar biopsy was benign?

Benign enlarged hilar lymph nodes - just diagnosed with thyroid cancer - can they be related even though hilar biopsy was benign?

Likely not: If the biopsy was done and showed adequate samplings and the result is benign - it is unlikely that these two (hilar lymph nodes and thyroid cancer) are related. ...Read more

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Submandibular lymph on ultrasound 2.2 x 1.0 x. 8 cm. Is it concerning for malignancy (history of thyroid cancer) or w/ location is probably reactive?

Submandibular lymph on ultrasound 2.2 x 1.0 x. 8 cm. Is it concerning for malignancy (history of thyroid cancer) or w/ location is probably reactive?

Nodal view: It is very difficult to comment on what the node is. You don't mention it's size or if it is tender. If tender it could be from qn irritation of the salivary gland, the salivary duct, an infection on the floor of your mouth or more. If the enlargement has no tenderness there are a number of other possible benign causes, but to give you emotional comfort have the area examinied by an ENT ...Read more

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Is prognosis good in those under 45yo with 2.2cm tumor, papillary thyroid cancer, no lymph node involvement or current evidence of spread?

Is prognosis good in those under 45yo with 2.2cm tumor, papillary thyroid cancer, no lymph node involvement or current evidence of spread?

Excellent: Very good prognosis have all good favorable indicators young age, localized smaller size of tumor, with no spread, equally good type is papillary tumor, consider this as good news, go for follow up regularly with out missing your appointment. ...Read more

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What are chances of thyroid cancer causing my slight hearing loss? It was in the lymph nodes as well. What chance of it spreading elsewhere?

What are chances of thyroid cancer causing my slight hearing loss? It was in the lymph nodes as well. What chance of it spreading elsewhere?

Hrng loss = prob not: Thyroid cancer would probably not be the cause of slight hearing loss.

There is definitely a chance of spread beyond your lymph nodes, in which case it would become even more serious. Make sure you are working with your physicians and have received or are receiving appropriate therapy. ...Read more

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Thyroid cancer on left - new ultrasound showed 9x3mm zone v & 10x3mm zone II both right side. No obvious lymph nodes on left. Adenopathy right side?

See your Physician: Lab results, xrays, scans and all medical work ups are best interpreted by the treating or consulting physician within the context of the problem and in the patient he/she is treating. Your best chances are to discuss it with your physician, he/she knows your situation best. ...Read more

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I have a hard, fixed lymph node in my groin with history of papillary thyroid cancer. Any reason for concern?

I have a hard, fixed lymph node in my groin with history of papillary thyroid cancer. Any reason for concern?

Should Get Checked: If this lymph node has been present for any length of time, say well over 3 wks and has been growing steadily with no signs of any infection in groin / genital area then definitely should be checked by your doctor. ...Read more

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Had thyroid cancer 2 years ago. They took out my thyroid and 14 lymph nodes and 1 parathyroid. Should I be worried about x rays?

Not necessarily: I think you are referring to radiation and the risk of thyroid cancer. You thyroid is gone so no risk to that but radiation in general can be harmful to other organs so only have radiology if necessary. ...Read more

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Jugular lymph node enlargement up to 2.6cm, post TT/thyroid cancer 2012, RAI scan clear, thyroid bed clear, not sick, what's the cause?

Enlarged neck node: A large neck node with a prior history of thyroid cancer is worrisome. See an ENT doctor and start with a fine needle aspiration of the enlarged node is my recommendation. ...Read more

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7 months post radioiodin therapy for thyroid cancer. No lymph nodes involvement at that time. But I have tender, sowllen neck ln?

7 months post radioiodin therapy for thyroid cancer. No lymph nodes involvement at that time. But I have tender, sowllen neck ln?

Thyroid ca follow up: There are many complexities to the follow up of thyroid cancer, and you need to be followed by an Endocrinologist. An ultrasound and a blood thyroglobulin would be helpful now. Following the RAI, was there uptake in the region of that lymph node? This swollen LN could be recurrence of thyroid ca, or it could be unrelated. ...Read more

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In 2011 I got diagnosed with thyroid cancer. Since treatment I have abnormal lyphnodes frm neck 2 groin I don't know y. I have a family histry of luekemia?

See your doctor: The details of your primary treatment are important. Did you have a total thyroidectomy? Did they remove nodes from under the thyroid (central neck dissection)? Did you have radioactive iodine treatment? You should probably visit back with the surgeon or endocrinologist for evaluation of these new findings. The groin is prob not related, but also should have an ultrasound and biopsy. ...Read more

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I've had a bilateral neck dissection for thyroid cancer in 2011. My neck has been swollen for 3 years. Should I see a lymph node specialist?

I've had a bilateral neck dissection for thyroid cancer in 2011. My neck has been swollen for 3 years. Should I see a lymph node specialist?

No: Lymph node dissection for thyroid cancer at age 22 is essentially cureable. In standard radical neck dissections for squamous Ca the jugular vein is taken. While vein resection is not usually a part of the node dissection for thyroid Ca, these veins may have been taken leading to this problem. As such drainage out of the H&N is limited. Warm compresses to the neck on a daily basis may help. ...Read more

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What are thyroid cancer symptoms? My lymph nodes are swollen, so I first thought I had an infection. But I feel ok, the swelling isn’t going away and now my voice is hoarse. Could I have thyroid cancer?

What are thyroid cancer symptoms? My lymph nodes are swollen, so I first thought I had an infection. But I feel ok, the swelling isn’t going away and now my voice is hoarse. Could I have thyroid cancer?

Thyroid cancer: Thyroid cancer normally presents with a mass that is biopsied to show cancer. Advanced cancer can affect the recurrent laryngeal nerve to change your voice quality (mass effect) or lymph node involvement. Lymph node enlargement is more commonly related to a cold or infection. See your doctor for more details. ...Read more

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During a neck lymph node ultrasound, accidentialy a 3 mm hypoechoic thyroid nodule was found. Is it something to worry about now, should I get biopsy or check it regullary or leave it. I have a family history of thyroid cancer (father, 1st cousin)?

During a neck lymph node ultrasound, accidentialy a 3 mm hypoechoic thyroid nodule was found. Is it something to worry about now, should I get biopsy or check it regullary or leave it. I have a family history of thyroid cancer (father, 1st cousin)?

Your FAMILY HISTORY: Alone makes this something that needs surgical evaluation (more tests could be done but I personally would want a BIOPSY and more likely than not an EXCISIONAL biopsy (take it out!!)

Hope this helps!
BTW you should be evaluated for possible thryroid hormone replacement as a way of avoiding future nodule formation! A Board Certified Endocrinologist is the way I would "go"! Z ...Read more

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Thyroglobulin tumor marker s value is 12. Is this normal? Have had thyroid cancer about 13 years ago

Thyroglobulin tumor marker s value is 12. Is this normal? Have had thyroid cancer about 13 years ago

See your doctor.: If you had total thyroidectomy and radioactivie iodine treatment, the thyroglobulin (Tg) should be undetectable or very low (< 0.5). If your Tg has been in this range in the past, having a level of 12 now would be concerning for regrowth of the thyroid cancer, OR normal thyroid tissue, if any survived the initial treatment. If you have antibodies to Tg, that can cause falsely high or low Tg levels ...Read more

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Treating thyroid cancer with armour, is this good or bad? Why do I see it ok with holistic dr. S but not so much with my endocrinologist?

Old-fashioned: Endocrinologists do not like Armour Thyroid because it's hard to standardize. I defer to them. Be very sure to tell your primary treating physician for your cancer about any "holistic" meds. ...Read more

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Do I need rai for papillary thyroid cancer if my #s were pt1b & pn1a if diagnosed @ age 39? Didn't list metastasis other than pn1a. Don't want rai.

Pap thyroid cancer: Based on this staging, the tumor was 1-2 cm with some local tumor detected: an intermediate risk situation. Presumably you had a total thyroidectomy; but the surgeon can't get it all, so rai cleans up both cancer and residual thyroid and permits detection of recurrance. Most endo's would recommend rai. But if you wanted to delay a bit (eg. Pregnancy) you could, since pap ca is slow growing. ...Read more

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Can sweet n low cause thyroid cancer?

Can sweet n low cause thyroid cancer?

No.: Sweet 'n' low, which is made from saccharin, has never been shown to cause thyroid cancer, in man or in animals. There was some concern in the past that it can cause another type of cancer at very high doses in animal studies, but this was apparently disproven in primates and in fact saccharin has been removed as a potential carcinogen in several government lists. ...Read more

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What does it mean when a woman has thyroid cancer?

What does it mean when a woman has thyroid cancer?

Gland in neck cancer: A malignant growth in the gland in the front of the neck. Cancer can spread and the thyroid needs to be removed. Sometimes there is just one or multiple cancers in the whole gland. Lymph nodes and further spread needs to be evaluated and appropriate therapy given. Overall thyroid cancer has high cure rates. ...Read more

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Is it possible to live with untreated thyroid cancer?

Is it possible to live with untreated thyroid cancer?

Not recommended: Even though papillary thyroid cancer is non-aggressive, it can kill you. It's after all a cancer. Thyroid surgery is now safer, especially in the hand of an experienced surgeon. The risk is much less than leaving a cancer in for a watch and wait aproach. Worst thing to do is to wait 10 yrs until you are now older with more medical problems and now have to go for surgery. ...Read more

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Thyroid cancer: what are the odds they have the diagnosis wrong?

Thyroid cancer: what are the odds they have the diagnosis wrong?

Who diagnosed?: If a pathologist made the diagnosis, the odds of wrong diagnosis are very very low. Denial by the patient is far more likely than wrong diagnosis by a pathologist. ...Read more

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Why are people placed in isolation when they have thyroid cancer?

Why are people placed in isolation when they have thyroid cancer?

Radiation Treatment: Treatment for the most common kinds of thyroid cancer may include swallowing a capsule with radioactive iodine. Much of the radiation from this goes to any remaining thyroid cells after surgery. Some leaves the body, however, and could affect anyone near them. Since others do not benefit from this radiation, we try to keep their exposure as low as possible. Keep your distance for 3-7 days. ...Read more

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What is the difference between thyroid imbalance and thyroid cancer?

Benign vs malignant: Thyroid imbalance describes a benign hormonal condition such as thyroiditis, graves disease or toxic multinodular goiter and is usually benign. These can be treated medically, surgically or with radioactive iodine if hyperthyroid. Thyroid cancer is cancer and needs surgery to remove it. ...Read more

Dr. Quang Nguyen
330 Doctors shared insights

Thyroid Cancer (Definition)

Cancer that presents in the thyroid gland. It usually presents as a painless thyroid nodule. Most are papillary-follicular type and have a very good prognosis. Less common are medullary cancers, with an intermediate prognosis. Anaplastic cancers of the thyroid have a poor prognosis and are uncommon. Treatment of thyroid cancers involves removal ...Read more


Dr. Gary Pess
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more