Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
137 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What does this ultrasound report indicate?

Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1418 Questions

default
Posted on Sat, 4 Jun 2016 in Thyroid Problem and Hormonal Problems
Question: I had thyrodectomy 6 years due to multi nodular thyroid and i have been on thyroxin since
Last month i had a lump in my midline neck which is shown and touched
I visited endcronologyst and he did ultrasound and show 2cm*1.5cm*1cm mass close to lynarx he did a biopsy which result stated "celullar specimen composed of varying proportions of abundant benign sheets of follicular cells and colloid. Micro and macrofollicles are identified. Few small lymphcytes seen"

I didnt understand and i need to know what it means because my doctor is away for 2 weeks.

Please support me into understand what it means and what is your initial opinion
doctor
Answered by Dr. Binu Parameswaran Pillai 45 minutes later
Brief Answer:
Thyroid benign lesion

Detailed Answer:
Good day,
Noted your concern. The biopsy details are suggestive of thyroid lesion which appears benign. Thyroid nodules can occasionaly regenerate in the operated site . Sometimes they can regenerate from the little thyroid cells which are attached to neck tissues.
Not to worry, the biopsy reports point to a benign etiology, however, may i suggest to please discuss with your endocrinologist about running molecular tests in biopsy sample. That would be great to exclude malignancy.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Binu Parameswaran Pillai 59 minutes later
I will ask my endocrinologist to run the suggested test however im still worried that the lump im having is not in the thyroid bed but obove and my endocrenologist was surprised about its location
doctor
Answered by Dr. Binu Parameswaran Pillai 9 minutes later
Brief Answer:
Can present all along the embriological development path

Detailed Answer:
thanks for the reply. Thyroid gland originate at the base of tongue during early development while you are still inside mother's womb. The gland then descends down to the position in neck at birth.. So you could possibly have thyroid tissues from the base of tongue and downwards along the path of descent . I am not surprised at the position. Thyroid gland and thyroid cells can be present at the root of tongue ,,high up in neck and way down near to heart also. I have personally seen few patients with thyroid cells in ectopic locations.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Binu Parameswaran Pillai 6 minutes later
Thanks for immediate reply

Is neck pains, nausea, severe headache, behind ear pain related to what im having?
I have increasing flam like i need to spit it out most of the time
doctor
Answered by Dr. Binu Parameswaran Pillai 2 minutes later
Brief Answer:
UNLIKELY

Detailed Answer:
It's difficult to answer without examination. However logically your pain and other symptoms don't seem to be associated with the neck swelling. It sounds like a viral infection.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Severe headache

doctor1 MD

i have migranil problem..when i was wake up from the bed..at that time i have severe head ache on left side only..i can t tolerate the pain.can u...

doctor1 MD

I have had severe headaches for 2weeks now that have recently turned into migraines accompanied by swollen lymph nodes. Any ideas on causes and...

doctor1 MD

Loud hissing/rushing sound in head. Blood pounding in head. Severe headache (unilateral, left side, localized in area beneath hairline 10-15 cm...

doctor1 MD

hi doctor i have severe head ache past 2 to 3yr.before 8months it got severe nd stard to vomitig nd giddy.when i met doctor they said left verbtral...

doctor1 MD

Hi sir, I'm 30 years old I have been suffering with severe headache from past 10years. 5 years ago I consulted a neurologist and got diagnosed with...

doctor1 MD

hi, my wife is 48 years old and is a housewife. no children at home. for past 1 week she is facing major giddiness, severe headache , panic attack...

doctor1 MD

I have ingested fish with cigutera! What is the best way to handle the symptoms? Headache, diarrhea , sensitivity to water.... Also, should I try...