Thyroid Cancer 101: Rare Case with a Large Palpable Lymph Node with a Small Thyroid Gland in a Young female.
The patient presented when a large lateral neck lymph node led her to an ENT who wanted to biopsy it. She failed to return for several years when the lymph node enlarged to 2.2 cm. A 1 cm hypoechoic nodule in an otherwise normal thyroid by thyroid ultrasound. The biopsy was positive from the lymph node. US neck survey found bilateral positive nodes on FNA. She waited too long and had her whole neck full of nodal disease.The surgery was total thyroidectomy and bilateral modified neck dissection. The primary was a micro-papillary cancer. After radioiodine she refused more surgery and returned with persistent neck nodes which were ablated with ethanol in my office saving several neck dissections.
If you are tired of surgery or more radiation call me for details of my 10 minute PEI procedure for each lymph node up to 3-5 at a time.
Richard Guttler MD,FACE,ECNU