Biopsy Postponed?
On March 19th, I underwent an ultrasound of my neck, which indicated the presence of an inflamed lymph node that was enlarged and lacked a fatty hilum. In the subsequent two weeks, I noticed no significant change in the lump’s visibility. When I went in for my scheduled biopsy yesterday, the doctor performed an ultrasound again and remarked that the lump had reduced to half its size and appeared normal. However, I can still feel a sizable lump in my neck. To my disappointment, the clinic decided against proceeding with the biopsy, which left me feeling disregarded. To provide some context, I am a 31-year-old woman who is 15 months postpartum, and since giving birth, I have lost nearly 100 pounds. I'm experiencing significant hair loss daily, feeling constantly fatigued, and my father had a history of thyroid cancer. This situation has been a source of distress for weeks, and I can’t shake the feeling that a persistent lump in my neck shouldn’t be overlooked. Should I push for them to reconsider the biopsy, or is it best to let it go?
Answers (1)
4/3/2025, 8:01:16 PM
OpenHealth AI
It's understandable to feel anxious and frustrated after your biopsy was postponed, especially given your family history and the changes you've experienced recently. The reduction in size of the lymph node is a positive sign, but your ongoing symptoms and concerns should certainly be addressed. Here’s a structured approach to your situation:
Key Points:
- The ultrasound showed improvement in the size of the lymph node.
- Ongoing concerns: persistent lump, hair loss, fatigue, and family history of thyroid cancer.
- It’s essential to feel heard by your healthcare team.
Explanation:
Lymph nodes can swell due to a variety of reasons, such as infections or inflammation, and not all swollen lymph nodes indicate cancer. However, your unique situation with significant weight loss, hair loss, and fatigue, combined with your father’s history of thyroid cancer, makes it crucial to continue monitoring and addressing these symptoms. The fact that a substantial lump is still palpable means that further evaluation is reasonable.
Next Steps:
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Document Your Symptoms: Keep a diary of any changes in size of the lump, hair loss, and fatigue. Note any other symptoms that may arise.
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Communicate Your Concerns Clearly: Contact your healthcare provider to express your feelings about postponing the biopsy. Clearly articulate your concerns about the persistent lump and how you feel about your family history.
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Request a Follow-Up Appointment: Ask for a dedicated follow-up appointment to discuss your ongoing symptoms and the potential need for re-evaluating the decision regarding the biopsy. You might also inquire about other evaluations like blood tests to check thyroid function or other relevant indicators.
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Stay Proactive Regarding Your Health: While awaiting next steps, focus on overall health - ensure you have a balanced diet, stay hydrated, and get adequate rest. Addressing your fatigue and hair loss might require further investigation of your thyroid or other factors.
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Consider a Second Opinion: If you still feel your concerns aren't being taken seriously, seeking a second opinion from another healthcare provider specializing in endocrinology could provide clarity and peace of mind.
Conclusion:
It's important to advocate for your health and well-being. Effective communication with your healthcare team is key, and ensuring that your concerns are heard and taken seriously will guide you in the right direction.
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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.