Could A Heterogeneous Appearance, An Enlarged Isthmus And Lymph Node Noted Inferior To Left Lobe Of Thyroid Be Cancerous?

Posted on Sat, 5 May 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 5 May 2018 Answered on

Mon, 9 Oct 2023 Last reviewed on

Question : ...OK my name is XXXXXXX, I'm 27 years old in mid 2016 I noticed a swollen lymnode in submadibular node but left alone no pain so why bother over next year's till now I have been on several antibotics ect. Still here so went in recently diagnosed with hypothyroidism and h.S. and so they ordered some results say thyroid diffusely enlarged with a heterogeneous appearance and an enlarged isthmus and lymnode noted inferior to left lobe of thyroid somewhat prominent 2.0 x 1.1 now been referred to ent for biopsy based of info does this sound cancerous lymphoma and leukemia run in family

Answered by Dr. Deepak Sundriyal (4 hours later)

Brief Answer:
Hello dear. It maybe lymphoma

Detailed Answer:
Hello dear.

I can understand your concern. I've gone through the attached reports.

So any lymph node more than 2 cm or equal need evaluation. Since it is long-standing, it may be lymphoma or some chronic infection. Without a biopsy, it is difficult to predict. The final call will be by biopsy.

Please let me know if there are any further queries...

Thanks and regards
Feel free to ask further

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepak Sundriyal (11 hours later)

OK so is the measurements I have 2.0 is that long axis and 1.1 c.m short axis or vise versa how do I read this

Answered by Dr. Deepak Sundriyal (42 minutes later)

Brief Answer:
Hello. Longest axis is counted

Detailed Answer:
Hello dear. So the longest one is counted. You will require a biopsy.
Thanks and regards

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Yogesh D