Doctor insights on:
Thyroid Nodules And Enlarged Lymph Nodes
My son is coughing and has enlarged lymph nodes. Two small ones on each side of his neck (for over 8 weeks) and a new one the size of a cherry pit.
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
Is it possible to have enlarged lymph nodes with hoshimotos hyper thyroidism? And why they need a biopsy?
Common: Seeing mildly enlarged lymph nodes in the neck is very common with Hashimoto's thyroiditis. We usually do not biopsy these lymph nodes unless there is something suspicious about them (large size, abnormal blood flow within the lymph node). Are they looking to biopsy a lymph node or a thyroid nodule? ...Read more
I was diagnose with 5x5 mm isoechioc solid thyroid nodule without evidence of, microcalcifications no masses, no lymphadenopathy visualized what dis?
My ultrasound showed cervical lymphadenopathy and hetergeneous ill-defined solid thyroid nodule. Could this be cancer?
5.9mm nodule was found by accident last year. Follow up with 2nd CT 6 mos ago - nodule was same. Now I have 3 nodules & enlarged lymph nodes. Next?
Seek medical advice:
Your doctor should be able to help you with what needs to be done next. If the nodules are growing in size and there is definite enlargement of the lymph nodes, then the next step should be a biopsy of the largest lump/nodule/ Lymph Node. This will likely help in making the correct diagnosis.
Where in the body was the original nodule located?? ...Read more
YES: This is consistent with parotis of infection of the parotid gland. You must be examined, evaluated diagnosed and treated -ASAP! ...Read more
"Heterogeneous hypo-echoic thyroid parenchyma with regional right side enlarged lymph nodes." appears in my thyroid Ultra sound test. What's this?
No simple answer: All that medical mumbo jumble is very clear to a physician but not so to the average person. You need to speak to your physician who ordered the ultrasound test so that he/she can easily explain the anatomy of what is going on and any consequences of this finding. It's too much to go over in this context. ...Read more
I have history of painless enlarged lymph nodes 3.2 cm, fna neg non-hodgkin 's (7/09). Past week I've had painful thyroid/local area. Any correlation?
Possibly: Where was your enlarged node? 3.2 cm is quite large and concerns me. I know the fna was negative but I would suggest seeing a surgeon and removing the node, provided its easy to get to it. If its deep and difficult to reach I would suggest a ct guided core needle biopsy performed by an interventional radiologist. No idea if this node has any relation to your thyroid. ...Read more
Have heterogeneous hypoechoic nodule in upper left neck w/enlarged lymph nodes & heterogeneous hypoechoic nod left thyroid. 2x cancer surv. Concerned?
Complete the workup:
Please follow your doctor's advice and complete the workup. The imaging findings described are concerning, and biopsy will probably be necessary to diagnose the problem.
Thyroid nodules are common, and may not be related to the enlarged lymph nodes. It may also need to be biopsied. ...Read more
Mesenteric lymph node bx showed possible reactive lymphoid process. Now Oncology consult due to mult. Enlarged lymph nodes/lung nodules. Being cautious?
Yes: Plan for a normal future. These biopsies are often difficult and you'd do well to have a few pathologists look at it. ...Read more
I have a thyroid cyst, 10 enlarged lymph nodes in neck & 8 in groin, lung scarring, high k, low na, lower wbc, hypotension & a long list of symptoms?
Internist: You're not going to get a diagnosis in an on-line forum. You obviously have a complicated problem that will require a comprehensive evaluation. If your local doctor can't help, seek help at an academic center with a general internist. You're only 113 miles from DES moines. Ps, hi k and low na with low BP suggests addison's disease. ...Read more
No: However, if you tend to be over-anxious and you're a young adult, you'll start noticing the lymph nodes that everybody has in their necks. A dangerous node is obviously very abnormal clinically. You need to learn to ignore the ones that aren't fixed to surrounding structures, stony-hard / tire-rubber hard, and not deforming. Please talk with your physician about overcoming these kinds of fear ...Read more
I have reactive enlarged lymph nodes in my neck, on the left, 15mm and on the right 18mm and I also have hypothyriodism. No infection. What's wrong?
Reaction to virus: Reactive lymph nodes are often seen after a variety of infections and may not be related to the hypothyroidism. Hashimoto's disease, the autoimmune form of hypothyroidism, can be associated with lymph node enlargement. If the lymph nodes do not decrease in size with time, they should be further evaluated and possibly biopsied ...Read more
I have had back and leg pain for over a year I was told I have enlarged lymph nodes I'm losing weight and my pain is spreading to my neck shoulder wha?
Second opinion: Do not know who you have been seeing or what the assessment has been, but what you describe suggests a possible need for a second opinion. Would suggest a general internist with guidance to specialists if required. Hope this clears up soon. ...Read more
If persistent, yes: Large palpable lymph nodes in the neck are not consistent with normal findings. Depending on size, and presence of tenderness and if along the jugular chain, they should be carefully watched. Any increase in number and further enlargement in size should cause suspicion of underlying pathology and require surgical excision of one node for bx rather than aspiration. ...Read more
If enlarged lymph nodes in neck are because of cancer somewhere else would it have to be in an area close to the neck?
Yes and no...: Neck lymph nodes may become enlarged with tumors of the head and neck, such as squamous cell carcinoma of the throat. (Smokers are prone to this problem.) This is because the lymphatic channels in the neck will filter through neck nodes before draining into a larger vessel in the chest. In contrast, lymphoma is a tumor of lymph nodes themselves, and can cause enlargement of any node. ...Read more
Yes: Hsv1, the virus that causes cold sores, can definitely make these lymph nodes enlarged. If you have an active sore on your mouth, and your neck and collarbone lymph nodes are enlarged and sore, they should improve as the sore improves. If you don't have a sore, they don't improve, or you have painless, enlarged lymph nodes, you should be examined by a doctor. Don't wait too long! ...Read more
Are painless rubbery chronic (2-3 years) enlarged lymph nodes in posterior triangle of the neck always cancerous?
My 2 years old show high monocytes on CBC constantly, enlarged lymph nodes on the side of the neck and temperatures around 99. What could be?
Viral vs other: How long the symptoms have been going on? If this is new- just for 1-2 weeks likely it is a viral infection. However, if this has been going on longer, and in addition to above symptoms- your child also has other things like pale, anemic, bleeding, rapid enlargement of the lymph nodes etc- it may be other thing more serious. Bring your child to pediatrician for follow up and further evaluation. ...Read more
I have enlarged lymph nodes between pancreas and liver. I had enlarge lymph nodes in neck. Neg for Hodgkin a year ago. Should I be worried?
Not really: Enlarged lymph nodes of concern are either inflammatory or malignant. If nodes in neck which are a common site for lymphoma were neg. For Hodgkins, then the chance of other sites are minimal for lymphoma. Nodes between pancreas and liver are usually those draining the liver from inflammatory or malignant lesions of the liver. If scan of liveri neg for malignancy then nodes would be inflammatory ...Read more
Enlarged lymph nodes throughout neck. & a few under arms. All soft. All moveable. All 1.25 CM or less. Been there for three years. No growing. Cancer?
Probably not: I think it's just your healthy immune system working to fight off infections. The fact that they are freely movable is reassuring. Cancer (lit, 'the crab') tends to send out tentacles that tie tissues down. Also the fact they're not growing is reassuring. Relax, and enjoy your life (safely, of course). ...Read more
How can you tell if you have enlarged lymph nodes in the neck? Because I can't tell what im suppose to see or feel
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Any nodes: Persisting for that period of time should be evaluated, especially if new ones are starting to appear. See your doc and get examined for a plan. ...Read more
3 enlarged lymph nodes on left side neck one very noticeable on back of neck where head and neck meet this ones grown over 4 months??
Get eval: Always best to get chronic lymphadenopathy evaluated and tested to determine and assure it is not a serious issue. Best wishes. ...Read more
Had enlarged lymph nodes, left base of neck. PET + for cancer. Nodes now shrunken. Can no longer feel them. Could white cells have eliminated cancer?
Not likely: White cells don't eliminate cancer despite all the "pop" claims. Spontaneous regressions of cancer from immunity are rare and it almost always recurs afterwards. A PET scan cannot diagnose cancer without a biopsy, and is at most a means of finding lesions that need to be biopsied for possible cancer. Adults have neck nodes pop up and regress all the time. Be glad and talk with your physician. ...Read more
My son is 6, for 3 years he has bleeding from the bowel, enlarged lymph nodes in the neck, ldh level 487, low hemoglobin, what could this be?
Bleeding: This history causes me some concern. I hope he is under the care of a physician and if not he needs to see one as soon as possible as this could be serious. See your physician! ...Read more