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What Could Be Bilateral Cervical Chain Lymph Nodes With Thickened Cortices But Measuring Under 1 Cm?

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Posted on Fri, 9 Dec 2022
Question: I received my ultrasound results and have a question on number 3. What does this mean and does it mean cancer?
1. Small bilateral thyroid nodules compatible with colloid cysts.
2. 1.1 cm markedly hypoechoic nodule at the posterior inferior aspect of
the left thyroid lobe appears extrathyroidal. Given the history, this is
consistent with a parathyroid adenoma.
3. Prominent bilateral cervical chain lymph nodes with thickened cortices
but measuring under 1 cm in short axis.
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
Parathyroid Adenoma.

Detailed Answer:
Hello,
I have gone throiugh your query and understood your concern.

This ultrasound result means that you have small cystes in your thyroid gland.
Cysts represent enlarged fluid-filled regions of the thyroid and they are not cancer, this is sure.

At the other side, you have a nodule in one of your parathyroid glands. The description of the ultrasound shows that it is a benign tumor.

A parathyroid adenoma is a benign tumor of the parathyroid gland. It generally causes hyperparathyroidism.

In your circumstances, if you were my patient, I will suggest doing these test: PTH test, total and Ionized Calcium test, X-ray to see your bone density and abdominal ultrasound to check for kidney stones.


These tests are helpful to clarify your situation and to deduct the definitive diagnosis of your parathyroid glands.

However, I suggest consulting an endocrinologist locally as soon as possible because it is necessary to do other tests, apart neck ultrasound to reach your definitive diagnosis.

Hope this is helpful.
Ragards.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Elona (36 minutes later)
Thank you I failed to add I do have kidney stones and high blood and urine calcium. I was mostly confused on what a thickinng cortice was in my lymph nodes. I will be having surgery soon and I just wanted to make sure my lymph nodes were not also diseased. Thank you.
doctor
Answered by Dr. Elona (8 hours later)
Brief Answer:
You have hypercalcemia and Hyperthyroidism.

Detailed Answer:
Hi again.

Your actual Hypercalcemia is the result of the excess parathyroid hormone produced by the parathyroid adenoma.


In mos of cases parathyroid adenoma is a benign tumor.
Parathyroid cancer is a rare disease.

To confirm if the lymph nodes are produced by the parathyroid adenoma ,i will suggest to do a test called Sestamibi scan.

This is a type of radionuclide scan used to find an overactive parathyroid gland.
A very small amount of a radioactive substance called technetium 99 is injected into a vein and travels through the bloodstream to the parathyroid gland.
The radioactive substance will collect in the overactive gland and show up brightly on a special camera that detects radioactivity.

If the lymph nodes collect radioactive technetium than we can deduct that these are produced by the tumor.

Anyway,i want to explain that removing the entire tumor during a surgical operation is the most common way to diagnose both benign and cancerous parathyroid tumors.

The tumor is then analyzed by a pathologist.
A biopsy is generally not recommended as a separate procedure from surgery for a parathyroid tumor.

You will be having a surgery soon and this is the right solution for your actual diagnosis.
I 'm curious to know the result of the biopsy.This result will decide the necessary exams or treatement in the future.

Hope i have clarified your doubts.
Wish you all the best.


Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Elona

Endocrinologist

Practicing since :2008

Answered : 929 Questions

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What Could Be Bilateral Cervical Chain Lymph Nodes With Thickened Cortices But Measuring Under 1 Cm?

Brief Answer: Parathyroid Adenoma. Detailed Answer: Hello, I have gone throiugh your query and understood your concern. This ultrasound result means that you have small cystes in your thyroid gland. Cysts represent enlarged fluid-filled regions of the thyroid and they are not cancer, this is sure. At the other side, you have a nodule in one of your parathyroid glands. The description of the ultrasound shows that it is a benign tumor. A parathyroid adenoma is a benign tumor of the parathyroid gland. It generally causes hyperparathyroidism. In your circumstances, if you were my patient, I will suggest doing these test: PTH test, total and Ionized Calcium test, X-ray to see your bone density and abdominal ultrasound to check for kidney stones. These tests are helpful to clarify your situation and to deduct the definitive diagnosis of your parathyroid glands. However, I suggest consulting an endocrinologist locally as soon as possible because it is necessary to do other tests, apart neck ultrasound to reach your definitive diagnosis. Hope this is helpful. Ragards.