ADVERTISEMENT

Q. Is it normal to have a neck dissection just by suspicion of malignancy?

Answered by
Dr. Pooja Pardhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 30, 2016 and last reviewed on: Dec 23, 2021

Hi doctor,

I have 4 enlarged cervical lymph nodes in my neck. Two are cystic and have calcification inside. There are also 3 small nodules on my thyroid. Two are about 2 mm and one is 6 mm. All blood and thyroid tests came back normal. Full body PET-CT showed no abnormal activity in thyroid or lymph nodes or anywhere else in my body. FNA biopsy of the largest lymph node came back as suspicious for metastatic papillary thyroid cancer. My ENT wants to do a selective neck dissection, removing the lymph nodes in regions 2-4, have them cold tested and remove my thyroid if positive. My question is, is it normal to have a neck dissection with only suspicion of malignancy? Or should I opt for further testing to confirm cancer before I decide to have the dissection?

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

I have gone through your query and can understand your health concern. Papillary thyroid carcinoma is the most common type of thyroid cancer which if detected in early stage has good prognosis. It spreads locally mostly to adjacent structures including lymph nodes. Small size of the nodules and lesser age of patient also have good prognosis. FNA (fine needle aspiration) biopsy of the lymph nodes is more sensitive and specific for detection of papillary thyroid cancer. After surgical removal of lymph nodes and their microscopic examination, it will become clear. Surgery allows accurate histological diagnosis, extent of the disease and staging of the cancer along with removal of the primary lesion. So. I suggest you that, if on FNA biopsy it came as malignancy you can go with neck dissection.

If you do not opt for surgery, other option is thyroid scan. But, it will not give you the correct diagnosis and will tell you only malignancy is present or not.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Is surgery necessary for grade 3 dislocation of ACL?

.. clearly acromioclavicular joint injury (attachment removed to protect patient identity). There are two ligaments which basically keep our ACL joint in position. In type 3 injuries, both ligaments are torn. Now, according to literature, treatment o...   Read full

Cataract Surgery FAQ - Eye Health

.. world is free from aging. It is only natural that cataract, a disease of aging, is the most commonly performed non-emergency, daycare surgery in the world. In this article, I try to answer commonly asked questions from cataract patients .. ...   Read full

Would you prefer thyroidectomy for cancer suspicion?

.. situation the most important fact would be to know whether there is a family history of thyroid cancer and which type. Not all thyroid cancers are the same; some are more aggressive that the others. Sorry, I was still trying to understand if the n...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.