Biopsy to check for thyroid cancer in lymph node

Lymph node biopsy incision sites
Lymph node biopsy incision sites

There are benign-appearing lymph nodes within the right neck. Within the inferior left neck is a 3 x 3 x 2 mm hypoechoic nodule. Previously, it measured 4 x 3 x 3 mm in size. Within the superior left neck adjacent to the submandibular gland is a 2.4 x 0.9 x 1.0 cm lymph node. It does not demonstrate an internal echogenic fatty hilum though is ovoid in appearance. It compares with 2.1 x 0.7 x 1.0 cm in size.

Nervous. That’s how I feel. I was hoping that I would be done with this thyroid cancer stuff. I thought that after the radiation iodine treatment and body scan, no more cancer could possibly be in my body. But after the last ultrasound came a phone call from one of my doctors to tell me that a lymph node has been growing. Because of that, I needed to have a biopsy done.

Arriving in the ultrasound room, I stayed in my clothes and laid on the bed. The ultrasound tech stomped on the foot lever several times to raise the bed so that she could find the spot to biopsy. (Why the hell she couldn’t have raised the table earlier, I have no idea). She pressed that ultrasound wand hard into my throat. (I don’t think this woman had any bedside manner). She found the growing lymph node and called in the doctor and the gal who brought in the glass slides for the cells.

Unlike the last biopsy where six needles gathered the cells, this time the doctor injected some muscle numbing agent. He went in deep and jabbed it around many times. That hurt. He did that with two different needles.

He waited for a minute or two for the numbing stuff to take affect and then dove in with the other needles to collect the cells from the lymph node. Although the numbing stuff was working, he went deep so there still was pain and pressure. I swallowed a couple of times; I guess you’re not supposed to swallow, but that’s hard to avoid when someone’s pressing on your throat like that.

Once he was done and the cells were on the glass slides, he and the slide gal left to make sure that the doctor had collected enough cells. If he didn’t, he’d be back to jab me again.

After five minutes or so, he was back to tell me that they collected enough. Thank goodness. I quickly gathered my jacket and things and took off as fast as I could go. I didn’t even stay long enough to ask when I would have the results. I figured that I’d have them in a week anyway.

I’m hoping for non-cancer, of course. I’ll keep you updated with the results. I’ll celebrate with cheesecake, if it’s not cancer. If it is, I’m having a beer.

Oh, and I think that I’m going to be sore for a couple of days from the harshness of the ultrasound wand and all the needles. On the way home, I stopped at a grocery store and picked up a bag of dark chocolate Reese mini’s. After that adventure, I deserved these yum-yums.

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