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Q. I have two lumps in my throat. Does the ultrasound of my thyroid indicate a potential malignancy?

Answered by
Dr. Vivek Chail
and medically reviewed by Dr.Lekshmipriya B
This is a premium question & answer published on May 11, 2017 and last reviewed on: Jan 19, 2022

Hi doctor,

I felt two lumps in my throat next to my thyroid, so I was sent for a thyroid and lymph node ultrasound. For over a year, my symptoms, like fatigue, sweating, lack of concentration, etc., have slowly worsened. Is there any indication of a potential malignancy? Can you please review my reports and give me your opinion on them? I am attaching my reports.

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Hi,

Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity).

There is a dark area in the right lobe of the thyroid, of which I am concerned. Usually, thyroid nodules are of different types, and cancer cannot always be predicted from an ultrasound scan. The nodule which you have is not well defined. Cancer risk can be calculated from the cell types in the FNAC (fine needle aspiration cytology), which is a needle test. It is recommended to get an FNAC done from the nodule in the right lobe of the thyroid, and then to depend on the report; I will suggest another thyroid ultrasound scan. If FNAC findings are benign, a three-year annual follow-up ultrasound scan for thyroid nodules is usually recommended.

Hi doctor,

Thank you for the reply.

I have a few follow-up questions. Are you saying that the dark area on the right lobe is a nodule? What did you mean by 'the nodule is not well defined? There is an enlarged lymph node-like lump just right of the right lobe that I can feel in my neck. Can you also see that on the images, or is that the nodule you are referring to? Are there any other visible enlarged lymph nodes in the images?

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Hi,

Welcome back to icliniq.com.

Thanks for writing back with an update.

Yes, the dark area in the right lobe is the nodule that I am referring to, and the margins are not sharp to call it well defined. There are also smaller nodules that are tiny. There is a lymph node-like structure anterior to the right internal jugular vein, which is small in size. I am unable to precisely measure it on the image. There are no large lymph nodes as such in the images sent.


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