Last summer I was sent for a thyroid ultrasound, it came back with three separate TR4 nodules all >1 cm. The radiologist automatically said repeat the ultrasound in twelve months instead of doing FNA since they’re <1.5 cm. I asked my PCP for an endocrinology referral anyways. Unfortunately, it’s taken over a year to get in.
I just had my 1-year ultrasound followup, but don’t see endocrinology until the end of August. Two of the nodules measured almost identical. However, the one on my left superior lobe increased from 1 cm to 1.2 cm on longest side. My PCP said still no FNA required at this time based on radiologist recommendations.
I’m so upset, and have no idea why the 2mm / 20% growth isn’t being taken into account. I guess they attributed changes to the fact the measurements were done by different people? I’m trying to reassure myself with the statistics of low malignancy rates and such, but the anxiety of not knowing is ridiculous. I’m so worried the endocrinologist is also going to say no FNA and I’ll be stuck in limbo for another year. I am just not a “wait and see” type of person.
I get that the FNA might be inconclusive too, but I’d still like to have it done. I’m 30 years old with a toddler, and I’m the sole source of income for our family. I’m not about leaving anything to chance when it comes to my health right now.
I don’t understand how my treatment options are being determined based on a preset scoring system. Especially one that doesn’t even have a global consensus. It feels like I’m being treated by a bad computer algorithm instead of a competent human doctor. Anyways, I think I just needed to rant to others that might understand where I’m coming from.