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What Causes Back Pain When Diagnosed With A Thyroid Nodule?

Posted on Wed, 5 Apr 2017

Question: Hi, im 30 y.o female asian, i went to see my doctor last week for lump in my thyroid, US done and suggested to do biopsy (which i am currently waiting to get scheduled), i have moderate sized heterogeneous solid mass and cystic components in my nodule in R thyroid.. blood works were done and all were fine except lymph # 3.4. I have also back pain for a long time probably 3 yrs or more and sometimes it gets worse that i can't even sit in my couch or lay in my bed but never been to see doctor for this problem..my question is, is there a relation on my lymph count high to any of these symptoms, i work in the hospital, i dont have recent illness that i know of that causes my lymph high or maybe i just didnt notice it. Any explaination would great appreciated so i can at ease my mind while waiting for biopsy done. thank you!

Answered by Dr. Mirjeta Guni (26 minutes later)

Brief Answer:
About thyroid nodules:

Detailed Answer:
Hello,
I can understand your concern.
Regarding to the thyroid nodule i would say, there is no relation between it and high lymphocyte level or back pain.
The malignant characteristics of the thyroid nodules are: irregular borders, hypoechogenicity, microcalcifications, high vascularisation. You did not mention any of them, so the chances to be malignant are low. The presence of cystic components suggests for benign lesion.
The high lymphocyte level should be monitored, if they persist high after one week, further investigations should be done to exclude any chronic infection or other hematological diseases.
The fact that the back pain persists since 3 years, suggests for a chronic process such as: herniated disc. I would suggest an MRI of the vertebras where the pain is located.
Hope the information will help.

Regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mirjeta Guni (24 minutes later)

Thank you so much doc! I will post my US result here too for detailed info. I also have question regarding the new supplement ive been taking now for about 8wks, its called Skin accumax by XXXXXXX iredale, i take 4 caps a day for acne problem, and i need to take them for 14 weeks to get result. Iwas wondering if this causes having nodule in my thyroid. Brief history too, i never had any thyroid issues, i just give birth a year ago feb 2016, and my mom's sis has toxic goiter.Thank you so much doc! I will post my US result here too for detailed info. I also have question regarding the new supplement ive been taking now for about 8wks, its called Skin accumax by XXXXXXX iredale, i take 4 caps a day for acne problem, and i need to take them for 14 weeks to get result. Iwas wondering if this causes having nodule in my thyroid. Brief history too, i never had any thyroid issues, i just give birth a year ago feb 2016, and my mom's sis has toxic goiter.I cant upload my US results, the one i miss to tell you is results also says "there is internal flow"??Impression: moderate sized complex mass in the right thyroid...And the nodule in my thyroid hurts a little bit around the right jaw and there's also swollen lymph node below the right jaw line, the mass size is 2.3 cm x 1.6 cm x 1.7 cm

Answered by Dr. Mirjeta Guni (9 hours later)

Brief Answer:
FNA is mandatory:

Detailed Answer:
Hello again,
The thyroid nodule is not caused by medication, usually there is a genetic predisposition.
The thyroid hormones would help to determine the thyroid function (rather the nodule is toxic or not) and the FNA will give of course information regarding the nodule nature.
The characteristics are not suggestive for malignancy but the presence of neck lymphnode (if it is not described as reactive in ultrasound) raises some doubts.
So, you should wait for the FNA answer.
Regards,
Dr.Mirjeta

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Above answer was peer-reviewed by : Dr. Prasad