Guest guest Posted May 17, 2001 Report Share Posted May 17, 2001 You are presenting a difficult issue, but let me see if in general I can give you some guidelines. Looking for lymph nodes in the neck, an ultrasound is simpler and you don't need to go hypo. Getting a RAI scan of the area helps only if you have thyroid cells that take up a reasonable amount of iodine, and this is NOT the case in many thyroid cancers. If you have enlarged lymph nodes in the neck after a thyroidectomy for thyroid cancer, you have to be cautious. If they are tender, it will be less likely to be due to thyroid cancer. By and large lymph node metastasis are not tender. If the lymph node enlargement is due to thyroid cancer, most of the times you have some other enlarged lymph nodes that appear in the ultrasound of the neck. You can biopsy them. If they are positive, it is not a big deal. New surgery in the area can remove them very effectively and you go on with your life as usual. At the most you may need some radiotherapy treatment as well. One word of caution: Local neck growth of thyroid cancer may NOT increase your serum levels of thyroglobulin. This is one of the pitfalls of serum thyroglobulin determinations. They are not that good with local recurrence inthe neck. These are general guidelines and you should check with your doctor to find out what is best in your individual case. ############################################## Arturo R. Rolla, MD Boston,MA USA arolla@... arolla@... arolla@... arolla@... ############################################## (no subject) > Hi All, > I am new to this site, joined a few days ago and have really enjoyed reading > all the postings. I have a question maybe someone can help me with. > Had TT-7/99 w /one cancerous lymph removed, 9/99 200mci RAi, Supposedly clean > scan 9/00 - the reason I question this " clean scan " is because I had > previously found a pea sized lump on the side of my neck, It did not show up > on the scan last September and the doctor told me that the lump is probably > not cancer because my bloodwork came back good Tg<.5 > Since then the pea sized lump is now almond sized and there appears to be a > new pea sized lump in the same area. My neck is very stiff, swollen, > sensitive and at times painful. > I had bloodwork in April - my Endo again stated that the bloodwork came back > good. This time I was smart enough to ask for a copy of my test results and > after coming home I noticed that my TgAB was 95. Thanks to a few that > responed to my fears on another site I realize that the TgAB will through off > the Tg and I have information to take to my Endo next week. > The Endo did say he was concerned about my neck being swollen (after a year I > hope so) even though the bloodwork came back good (so he thinks). He wants > me to go hypo and have the body scan. > My question is this - do infected lymphs typically show up on the body scan? > If not is there a better test for this? I am afraid since it didn't show up > last year it won't show up this year either. Anybody with info please let me > know so I can be informed when I go to my endo next week, there really is so > much he doesn't know - it kind of scares me. > Thanks- > L > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2006 Report Share Posted November 14, 2006 Hello all, I'm Jeri and I'm currently a freshman in college (well, sophomore technically, but shh). Anyways, I've been going through some rough times - just trying to get into the swing of things as a student and such. It's been hard - and consequently I've been obessing about my weight, calories, and exercise. I'm not overweight by any means but I FEEL like i am...I have stomach problems on top of this all so I need to watch what I eat anyways...basically, due to a lot of stresses I've become obsessed with body image. It turns out that part of this is due to a general anxiety disorder/OCD that I've suffered from for quite some time. It's now being treated and I feel like I might actually stand a chance against my constant self- examination/hatred. I recently began seeing a therapist and nutrtionist and I've finished reading " Intuitive Eating " ....what a great book! It's been a constant struggle to allow myself to eat what I want but I think I'm finally moving in that directon. I was hoping to find some like-minded people here and get some support as well. Hope you are all finding success in your lives, Jeri Quote Link to comment Share on other sites More sharing options...
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