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Doctor insights on: Pneumonia Associated With Thyroid Nodules And Vocal Cord Lesions

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Multiple thyroid nodules some are very large & others are attached to my vocal cords. Hard to swallow, swollen neck & painful, took raditn pill. 3 yrs ago. Help?

Multiple thyroid nodules some are very large & others are attached to my vocal cords. Hard to swallow, swollen neck & painful, took raditn pill. 3 yrs ago. Help?

See endocrinologist: You did not mention if you had an overactive thyroid 3 years ago when given radioactive iodine. I assume your thyroid levels are normal now. If you still have large thyroid nodules, and symptoms related to it, you may need surgery to effectively deal with the problem. It is best to see an endocrinologist for a complete evaluation of your thyroid. ...Read more

Vocal Cord (Definition)

The vocal cord is a short (about 1cm long) band of tissue in the larynx (aka "voice box"). It is paired, so everyone has 2, and they are located just below the "adam's apple." when you breathe, they are separated from each other. When you speak, they come together while your lungs push air (like a bellows or bagpipe) past them, and they vibrate, like a reed ...Read more


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Can small thyroid nodules make you feel like someone's squeezing your neck?

Can small thyroid nodules make you feel like someone's squeezing your neck?

Generally not: Look for other causes. One uncommon cause is vocal cord dysfunction, which can feel just like an asthma attack, but is not relieved with inhalers. Esophageal spasm is another cause. Getting stuck on a preconceived diagnosis prevents the proper one from being made. See your doc, and describe your symptoms in detail to him, in order for the proper diagnosis to be made. ...Read more

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What can I do if my thyroid nodule in my neck biospy came back bengin is there anything to worry about?

Needle or Surgical?: Was the biopsy a needle biopsy or an excisional surgical biopsy? If surgical, then the nodule was removed and it is benign and you probably have little to worry about. If a needle biospy then you need to know if there was adequate tissue for diagnosis. If not, then you can't be sure there is nothing there. Sometimes a repeat biopsy is suggested or a followup sonogram of the nodule. ...Read more

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Post-inflammatory node on my neck. Growing thyroid nodule that was previously ruled benign. What to do?

Consider re-biopsy: Benign nodules can grow just like malignant ones. Just because it is larger does not necessarily mean it is bad, but one should consider re-biopsy to verify that it is benign. Studies show that about 3-5% of nodules with benign pathology reports, are malignant on further testing. ...Read more

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Small thyroid nodule on right side of neck only; hasn't noticeably grown in five years. Chance it will ever grow? What percent of nodules do grow?

Small thyroid nodule on right side of neck only; hasn't noticeably grown in five years. Chance it will ever grow? What percent of nodules do grow?

Variable: If the nodule is "small" and hasn't grown in five years, it is probably benign and not a problem. Keep watching it, and check an ultrasound as you probably will form further nodules in the future. ...Read more

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Is laser physiotherapy on back of neck safe when you have thyroid nodules?

Is laser physiotherapy on back of neck safe when you have thyroid nodules?

No research: On this as far as I can tell. However, I would assume it would be safe to have posterior cervical treatment with thyroid nodules. Whatever energy is deposited in the back of the neck with this treatment would not extend to the region of the thyroid. ...Read more

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I have thyroid nodules that have grown in number and size and now I am having neck pain. The nodules are less than 1 cm. I am very irritable as well.?

I have thyroid nodules that have grown in number and size and now I am having neck pain. The nodules are less than 1 cm. I am very irritable as well.?

The neck pain may: Be a result of these nodules or even secondary to metabolic issues related to these nodules. The pain may also be independent of the thyroid issue as well but this should be evaluated by your physician. ...Read more

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Can my neck lymph node infection have anything to do with my thyroid nodule?

Can my neck lymph node infection have anything to do with my thyroid nodule?

Thyroid nodule: Lymph nodes in the neck frequently swell and then regress during minor viral illnesses. So this may have nothing to do with a thyroid nodule. However, that thyroid nodule should be worked up. Ideally with an ultrasound-directed biopsy and you should be seen by an endocrinologist. A thyroid cancer can spread to lymph nodes, although the more likely explanation is a virus. ...Read more

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Known thyroid nodule, colloid area recurrent cysts, now pressure/pulling on neck especially lifting arm?

Known thyroid nodule, colloid area recurrent cysts, now pressure/pulling on neck especially lifting arm?

Surgery: Now that your thyroid is causing you symptoms, I would advise you to consult with a surgeon about having your thyroid gland removed. ...Read more

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I woke a few days ago with pain and swelling on the lower front of neck. I can feel restriction wben swallowing. Could my thyroid nodules be reason?

I woke a few days ago with pain and swelling on the lower front of neck. I can feel restriction wben swallowing. Could my thyroid nodules be reason?

It is unlikely: It is unlikely for a thyroid nodule to cause pain and swelling.
Pain/swelling in the midline front of the neck may represent thyroiditis, inflamed thyroid gland, or superinfected thyroglossal cyst. However, if you feel any lumps that are getting larger, or have been in your neck for longer than 2 weeks, see your doctor right away, as this can represent infected or possibly cancerous lymph nodes! ...Read more

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For over 2 yrs. I have had pain in the front of my neck as well as bi-lateral enlarged lymph nodes. Two 1.5 cm thyroid nodules just found. Thoughts?

For over 2 yrs. I have had pain in the front of my neck as well as bi-lateral enlarged lymph nodes.  Two 1.5 cm thyroid nodules just found.  Thoughts?

Thyroid issues: Thyroid conditions such as thyroiditis and nodules can exist and cause symptoms for years. The thyroid nodules need to be biopsied and if the lymph nodes are enlarged enough, they may also need to be biopsied for a more specific diagnosis. Certainly, thyroid lab tests also need to be done if not done already. Good luck ...Read more

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Soft nodule on back of neck, if touched, I experience vertigo. Lump is directly behind thyroid nodule on front of neck. Are they connected issues?

Soft nodule on back of neck, if touched, I experience vertigo. Lump is directly behind thyroid nodule on front of neck. Are they connected issues?

No: The thyroid is in the front of the neck. If this "soft nodule" is on the back of the neck, then it's not a thyroid. If pressing it cause vertigo, please see a physician to get it evaluated. Good luck. ...Read more

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Hello i recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?

Hello i recently found a lump on my neck I went for ultra sound and it confermed a thyroid nodule size 2cm by 3 CM non cystic and hypervascular?

Biopsy: Hi. Assuming your thyroid function is normal (not hyperthyroid), the thyroid nodule you describe needs fine needle aspiration biopsy for cytology (and hopefully genetic testing) to see if it's cancer. If it's not cancer, you can leave it in and just follow it, and thus avoid surgery for a non-cancerous tumor. I have to assume that whoever ordered the ultrasound has told you that you need FNAB. ...Read more

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12 year old had throbbing, pain, and discomfort on the left side of neck for 2 weeks. Doctor than found 2 thyroid nodules. What caused the pain??

Mass effect: Pain is usually a clue that something in your anatomy isn't working quite as it should. The nodules can cause pain due to the mass effect of the increased size of the nodules. It needs to be evaluated ...Read more

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I have a 3.5cm thyroid nodule with lower neck swelling, but normal TSH, T3, T4 blood levels. What could be causing this?

I have a 3.5cm thyroid nodule with lower neck swelling, but normal TSH, T3, T4 blood levels.  What could be causing this?

Goiter or Cancer?: A Thyroud mass can be benign in which case it is called a Goiter. There is about 10% risk that it can be a cancer. You should see your physician for further trests such as an ultrasound and or a Needle biopsy. Blood tests only show if your thyoid functions are normal or not. Since these are normal, you now need to go to the next step of further evaluation to find the cause of your Thyroid nodule. ...Read more

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I had a neck CT scan an it showed that I now have numerous thyroid nodules and a cyst. Since I'm having compressive symtoms do I need to have surgery?

I had a neck CT scan an it showed that I now have numerous thyroid nodules and a cyst. Since I'm having compressive symtoms do I need to have surgery?

Probably: The tyroid gland sits right on top of the larynx, trachea. As it enlarges due to the formation of multiple nodues, if they are not large and no compressive symptoms occur, one treats conservatively, possibly using hormone replacement if needed. If too large some form of cytoreduction may be needed. ...Read more

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I had biopsies of thyroid nodules today my neck muscles are hurting more and feel tight what should I look for if something did go wrong my throat is sore my ears hurt real bad here and there when I move to get up

You : You should have no serious problems from fine needle aspiration biopsy but if you have continued pain or swelling call the doctor who performed the biopsies. You might be achy for about a day. You can feel pain in the ear because of how your nerves work even though it was your thyroid and your ear was not biopsied. This is called referred pain. Sometimes people will tense their neck muscles because of pain elsewhere in the neck. I hope you feel better today and the biopsies are all negative (no cancer). ...Read more

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How often are vocal chords hurt when removing a thyroid nodule?

How often are vocal chords hurt when removing a thyroid nodule?

Depends: The biggest risk is from damage to the recurrent laryngeal nerve, which runs under the thyroid and controls the vocal cords. It depends on the patient's risk factors and the skill of the surgeon. However, despite that it can still occur as a transient injury in up to 5-8% of thyroid surgeries. It can also be permanent in up to 0.3-3% of thyroid surgeries. Being intubated can also contribute. ...Read more

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Fast growing thyroid nodules — what do they mean?

Be evaluated: Most thyroid modules don't grow fast even those involving most thyroid cancers. Those that do should be evaluated as they can be concerning for aggressive thyroid cancer. ...Read more

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Is it possible for thyroid nodules to shrink without having to take them out surgically?

Sometimes: Sometimes thyroid nodules can be suppressed if the patient get put on synthroid (thyroxine). However, any growing nodule needs a biopsy to rule out thyroid cancer. ...Read more

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If a thyroid nodule is large can it cause problems?

If a thyroid nodule is large can it cause problems?

Yes: A large nodule can compress and deviate arteries/trachea causing breathing or swallowing problems. ...Read more

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Can I just use thyroid meds to reduce a thyroid nodule?

Not recommended: Ata guidelines recommend against use of thyroid meds for thids purpose. Causes other medical problems and found not to be beneficial. ...Read more

Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


Dr. Milroy Samuel
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