I went into my surgical appointment today expecting a simple plan to schedule a Fine Needle Biopsy on my Thyroid...but what I got wasnt so simple.
Problem #1 is that my "complex peripheral echogenic cyst" is over 4cm in size. Thats huge by thyroid standards. I knew my neck and throat feel enlarged, but I didnt expect the size. My options are to have the needle biopsy (which the surgeon recommends) or go ahead and skip straight to removing the right side of my thyroid gland altogether to rid the chances of the needle biopsy coming back inconclusive or missing a cancer diagnosis. (which my Endo recommends) CANCER didnt really make sense until I read the top of my ultrasound report that says....
REASON FOR EXAM:
FATIGUE, HYPERCALCEMIA, DIABETES
Ummm.....whats that? HYPERCALCEMIA? Thats a new diagnosis Ive never been told I have.......
So, we are looking at several things here....Hyperthyroidism that is causing the high blood calcium (why are we not treating this yet if we KNOW I have it!!??)) or it could be Parathyroid Disease, Adrenal failure (Addisons Disease) or at worst, malignancy somewhere in my body. Yeah. Not so good. Still nothing back on my ACTH test (used to determine Adrenal problems) so Im getting a bit irritated just waiting around to hear what the heck we do next. Surgery? FINE, just get it done. I hate waiting. Just tell me what needs to be done and lets get it scheduled!
NOT SO GOOD and definetly NOT SO FUN was the Surgeon deciding to test my vocal chords while I was there. (because my hoarseness) ICK and OUCH. First he "numbed" my vocal chords by squirting something into my nose and letting the liquid drain into my throat. ICK. Then came the OUCH. "Oh-so-carefully" he fished a small tube into my nose and down my throat. (insert gag here) Vocal Chords? Apparently they are just fine. But OUCH! My throat feels all scraped up and irritated now!
"Not so good" can still turn out to be A-OK. Keep your fingers crossed and your prayers coming!