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Thyroid Diseases

Thyroid Nodule Testing Results

10/06/2006

Question:

I feel like i have a lump in my throat, I had a CT done and it found "enlarged jugulodigastric lymph node underlying neoplastic or inflammatory disease; mild asymmetry of the supraglottic region may be related to some retained debris in the supraglottic space; 5mm low density lefy thyroid nodule."

I can`t get in to see the ENT for another month and I would like to know what some of this means. My doctor doesn`t explain it to me.

Answer:

The enlarged lymph node is very non-specific. Whether it needs to be biopsied or not would depend on its size and appearance. The ENT doctor would be the best one to decide about this.

I have no idea what the significance of "mild asymmetry of the supraglottic region" would be. Again, you need the ENT doctor to evaluate this.

The 5 mm nodule in the thyroid is too small to be biopsied and should be followed periodically either with periodic ultrasounds or by a doctor feeling the thyroid gland. These kinds of nodules in the thyroid are quite common and the vast majority of them are nothing to worry about.

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Response by:

Thomas A Murphy, MD, FACP, FACE Thomas A Murphy, MD, FACP, FACE
Associate Professor of Medicine
School of Medicine
Case Western Reserve University