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I noticed a mass on the right side of my neck in May of 2011. I had a grandmother predisposed to "fatty tumors" in her neck, so I assumed that is what my lump was. In just 7 months, the lump is rather firm and about the size of my index finger, wrapping its' way around the side of my neck. I can only feel a little aggravating pressure on my throat most of the time, but sleeping is hard due to a choking sensation. My family doctor referred me to an ENT physician. ENT physician ordered a CT scan of my neck only. I received a call that an appointment was being made with a General Surgeon to "get things rolling" for a thyroidectomy. According to the phone call, both lobes are going to be removed. My concern is that shouldn't some type of blood work or biopsy be done before surgery?

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My Dr. followed the same path yours has recommended and it is the right choice. There is no need for a biopsy the CT provided the information they needed to proceed. I had my thyroidectomy in July of 2010 and it went was successful. They will probably want you to take a radioactive pill afterwards to make sure all cells are dead. I was having trouble breathing because my thyroid was pushing against my windpipe and that is probably why you are having trouble also. On December 27th 2010 I had another surgery to remove an anaplastic cancer cell that was found. Surgery was successful and had then went thru chemo and radiation treatments. They were tough, but I am cancer free at this time and just had a CT scan this week. My advice is get it out as quick as possible. Scar is hardly noticable and I am doing great. Some other things that immediately I notice after getting the thyroids out were no indigestion problems had been taking 2 Pepside per night, weight dropped from 221 down to 203 and is staying at that level, disposition improved, and of course appreciate life more now than befre. I wish you a healthy Merry Christmas!!!

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I know this answer is 5 months late but it may help someone else if too late for you. An ENT doctor may not be the appropriate specialist if this is a thyroid disorder of some sort, you should ask your doctor to refer you to an endocrinologist. Regular doctors seem to be trained to rely on that stupid TSH test. I have a thyroid disorder AND I am a Medical Technologist, that tsh test is not necessarily a good indicator of what is going on with your thyroid. I have dealt with thyroid problems since the age of 13. I am now 38. I have had numberous ultrasounds, biopsies, cysts drained, been on levothyroxine and off due to insurance changes. I can tell you this........if you have a goiter, nodules, or cysts but your thyroid is still functioning, you may want to keep it in there. The thyroid regulates your metabolism. Doctors sometimes rush to perform surgery. When I was first diagnosed, I was told that if at all possible it would be best not to remove it. My TSH test has always been within the normal range, so I often times find myself having to fight with regular doctors because they don't want to prescribe thyroid medication to me, even though my thyroid is visibly enlarged. Even if you have to fight for it, change doctors, do what ever you have to do to get a referal to an Endocrinologist because they seem to be more familiar with the disorders and treatments of/for the thyroid and other metabolic disorders. I've seen other posts which have stated that after having the surgery they have lost weight and other symptoms have disappeared, This person will have to take medication for the rest of his or her life. If your thyroid is in fact not functioning properly, simply being placed on thyroid medication, without surgery (if possible) can result in weight loss and the loss of other symptoms. I kept my thyroid in, nodules, cysts and all. Took levothyroxine for a period of time to shrink the size of my thyroid. I lost weight, was no longer tired and achey, my skin was no longer dry, my hair stopped breaking, and my overall wellbeing significantly improved. But then my insurance changed and I spent years argueing with stupid doctors about my thyroid. Even when I would send them my records from the endocrinologist they wouldn't want to do anything because my TSH is always normal. Just be aware people that it is YOUR health, YOUR body. You have been living with it ALL OF YOUR LIFE :) . So, when you think something is not right, then something probably is wrong and you should be well informed and fight for the treatment that is appropriate for you. Don't let doctors tell you that you are just depressed or you need to exercise more that's why you are tired. You know if you are depressed or if you are lazy or not. If not, then don't let them get away with writing your concerns off.....go to another doctor if something doesn't sound right to you. Best wishes....

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UPDATE*** I had my first surgery Jan 13, 2012 (uh-huh Friday the 13th LOL), a hemi-thyroidectomy was performed. While in my neck, the surgeon also removed a couple of suspicious lymph nodes & a "significant amount of unidentified tan colored material." Turns out that not only do I have papillary thyroid cancer, but also have follicular variant of papillary carcinoma & ectopic thyroid material (the tan colored stuff). I am scheduled for another surgery in 2 weeks to remove the other lobe of my thyroid and all my compartmental lymph nodes. BTW the General Surgeon I had for the first surgery was great. He sent me to a colleague of his who trained at the Mayo Clinic and now teaches at the Kirkland Clinic at the University of Alabama Birmingham campus. Now my question is this: Since the ectopic material showed abnormal cells and the fact that I suffer from chronic diarrhea and "flushing" (feels like headrushes from hanging upside down too long and looks like my face, neck, and upper chest are blushing) should I ask about the possibility of medullary cancer since it is associated with ectopic thyroid and papillary cancer? I was also told, 3 years ago, I have scarring on my liver. I just don't want to seem like a hypochondriac.

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Before undergoing a treatment or medication be sure to ask another opinion from a trusted medical doctor to be sure that you have that illness and not to be deceived by other medical professionals. In this way you are sure that the right treatment is given for you.
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Doctors re-certify more than any other doctor. This aids in ease and give you the confidence to go it gives confidence. Education and training is important to family doctor physicians.

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One observation is that treatment stimulation causes the releases back and neck pain and hormones, considered manufacturing signals that soothe the sympathetic system and unharness natural opioids which give back pain relief

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