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What does my ultrasound test result indicate?

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Posted on Mon, 23 May 2016
Question: I recently had an Ultrasound of my thyroid. My thyroid appeared normal and had normal color flow. There was a well-circumscribed hypoechoic soft tissue focus inferior to the left lateral thyroid lobe which measures 0.52 cm x 0.48 cm x 0.51cm, and may represent a lymph node versus soft tissue arising from the parathyroid gland. I also have low Vitamin D levels (7.7) and have been started on 50,000 IU per week. I am also ordered to get my PTH levels drawn. The doctor also added "Malignant tumor of lymphoid hemopoietic and related tissue" to my problem list. She did not give me any explanation. What should I think? Should I be concerned?
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
TO get a definite diagnosis and Specialist's opinion for further treatment.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/43 - Ultrasound of thyroid - normal thyroid - detected a mass 0.52 cm x 0.48 cm x 0.51 cm, well circumscribed, hypoechoic, soft tissue - inferior to left lobe - ? LN/ ? parathyroid - low Vit D 7.7 - started on weekly dose of 50,000 - PTH awaited - malignant tumor of lymphoid hemopoietic and related tissue - no explanation - Wants to know about it and whether to be concerned.

My thoughts :
The diagnosis is still not certain.
To confirm by:
FNAC- fine aspiration cytology under ultrasonography guidance as this is a small tumor.
MRI may give better diagnosis
Opinion of the Surgeon dealing with head and neck cancers.
PTH level awaited, may help further.

Malignant means cancerous.
"Malignant tumor of lymphoid hemopoietic and related tissue" to your problem list as a differential diagnosis. The treatment is altogether different from Parathyroid tumor, which is curative if excised in total.

Continue Vitamin D, recheck the levels and continue till are normal.

I hope this answer helps you to get an early and proper diagnosis and treatment, please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19419 Questions

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What does my ultrasound test result indicate?

Brief Answer: TO get a definite diagnosis and Specialist's opinion for further treatment. Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/43 - Ultrasound of thyroid - normal thyroid - detected a mass 0.52 cm x 0.48 cm x 0.51 cm, well circumscribed, hypoechoic, soft tissue - inferior to left lobe - ? LN/ ? parathyroid - low Vit D 7.7 - started on weekly dose of 50,000 - PTH awaited - malignant tumor of lymphoid hemopoietic and related tissue - no explanation - Wants to know about it and whether to be concerned. My thoughts : The diagnosis is still not certain. To confirm by: FNAC- fine aspiration cytology under ultrasonography guidance as this is a small tumor. MRI may give better diagnosis Opinion of the Surgeon dealing with head and neck cancers. PTH level awaited, may help further. Malignant means cancerous. "Malignant tumor of lymphoid hemopoietic and related tissue" to your problem list as a differential diagnosis. The treatment is altogether different from Parathyroid tumor, which is curative if excised in total. Continue Vitamin D, recheck the levels and continue till are normal. I hope this answer helps you to get an early and proper diagnosis and treatment, please feel free to ask for further relevant queries if you feel that there is a gap of communication.