Lumps in the Groin: A Guide for Thyroid Cancer Patients

Hard lumps on both sides of the groin?

Hello, doctor.
I was recently diagnosed with thyroid cancer.
Due to extreme discomfort in my body, the tumor is small but located in a dangerous position that cannot be biopsied.
Therefore, the interventional radiologist suggested that my primary physician handle it in another way.
My physical condition has been deteriorating.
I have a history of hypothyroidism, and my weight has always been high, fluctuating around 166/65.
Suddenly, it dropped to 166/45.
I understand that the tumor is likely malignant and needs to be removed, so I requested my primary physician to arrange for surgery.
I know that medicine relies on data, which puts the physician in a difficult position, but they still arranged for the procedure.
This specialty is now concluded, and I have been diagnosed with early-stage cancer (no chemotherapy needed yet), but it seems that nothing has changed as a result.
I have many symptoms that leave me feeling lost.
I experience itching all over, hair loss (not localized), and significant weight loss.
I am desperately trying to eat high-calorie foods to avoid looking too alarming.
I naturally have thick hair, and I optimistically tell myself that it’s okay to lose some, but now I feel like I might not have enough left.
If this continues, I have tried to feel for other lumps on my body to provide some data.
I found two hard lumps on both sides of my groin.
I often feel like I have a cold.
Initially, I went to the pharmacy for medication, thinking it was bronchitis.
I cough so much at night that I can’t breathe, but I am someone who can tolerate pain.
Sometimes, it is accompanied by night sweats, chills, and numbness in my limbs.
My body often experiences pain in various locations, but I initially didn’t take it seriously.
However, as my weight continues to drop, I feel fatigued, and my long rest periods do not improve my condition.
The new severe hair loss, weight loss, persistent cold symptoms, itching, and occasional sudden night sweats followed by temporary vision loss have left me feeling exhausted.
The most distressing thing is that when I went to a large hospital near my home to inquire about my condition, the doctor responded, “The hematologist from Asia University told me that if you’re coughing to the point of not being able to breathe, you need to see an ENT specialist.
If you feel faint, you should see a neurologist.
If you have chest tightness, you need to see a cardiologist.
When I mentioned the hard lumps in my lymph nodes, he said, ‘Then go get a biopsy.
Bring me the pathology report.’” This made me feel like I was going crazy, as I hadn’t even received basic examinations.
That day, I sat in Starbucks all afternoon, contemplating giving up on the idea of early detection and early treatment.
I have always been optimistic and held hope for life, but since that day, I have been thinking about whether I will only be rescued after I collapse unconscious.
I was diagnosed, and everything feels too late.

Liang, 30~39 year old female. Ask Date: 2020/01/20

Dr. Chen Sirong reply Oncology

Liang, 35 years old, female
1.
Diagnosed with early-stage thyroid cancer (no chemotherapy required at this time).
2.
Two hard lumps felt on both sides of the groin.
3.
Weight loss, fatigue, prolonged rest periods with no improvement.
Severe new-onset hair loss, weight decline, intermittent pain, frequent colds, itching, and occasional episodes of sudden sweating followed by temporary vision loss and fainting, although consciousness is regained without a clear reason.
I have organized your concerns as follows:
1.
Post-operative follow-up should be regular to ensure that hypothyroidism is effectively managed.
2.
General surgical examination, possibly including biopsy or pathological examination after excision.
3.
It is essential to rule out:
3.1 Insufficient thyroid hormone levels.
3.2 Psychogenic factors, as the psychological stress from cancer can contribute to various symptoms.
If no significant physical issues are identified through conventional medicine, I recommend considering traditional Chinese medicine for body regulation.
Thank you for your inquiry.
Happy New Year!
Taoyuan Hospital, Dr.
Chen Si-Rong

Reply Date: 2020/01/20

More Info

Understanding lumps in the groin can be particularly concerning for thyroid cancer patients, especially when they are experiencing a range of symptoms that can be distressing and confusing. In your case, it seems that you have been diagnosed with thyroid cancer and are experiencing significant physical discomfort, including weight loss, hair loss, and the discovery of hard lumps in your groin area. It’s crucial to address these symptoms and concerns comprehensively.

Firstly, the presence of lumps in the groin can be indicative of several conditions, including lymphadenopathy, which is often a response to infection or malignancy. Given your recent diagnosis of thyroid cancer, it is essential to consider that these lumps could be enlarged lymph nodes, which may occur if the cancer has spread or if there is an underlying infection. Thyroid cancer can metastasize to lymph nodes, and the groin area is not a typical site for thyroid cancer spread; however, it is still important to evaluate any new lumps thoroughly.

Your symptoms of persistent cough, fatigue, night sweats, and significant weight loss are concerning and warrant immediate medical attention. These could be signs of systemic illness, and the combination of these symptoms, along with the lumps, should prompt further investigation. It is understandable that you feel frustrated with the responses you have received from healthcare providers. It is crucial to advocate for yourself and seek a comprehensive evaluation from a healthcare professional who can coordinate your care effectively.

In terms of your thyroid condition, it is important to manage your hypothyroidism properly, as untreated hypothyroidism can lead to a range of symptoms, including fatigue, weight gain, and hair loss. If you are experiencing significant weight loss, this could indicate that your body is under stress, possibly due to the cancer or other underlying conditions. It is essential to discuss your thyroid medication with your endocrinologist to ensure that your levels are stable and appropriate for your needs.

Regarding the lumps in your groin, it is advisable to have imaging studies, such as an ultrasound or CT scan, to assess the nature of these lumps. A biopsy may be necessary to determine if they are benign or malignant. If you are experiencing difficulty breathing or severe symptoms, it is crucial to seek emergency medical care.

Additionally, it may be beneficial to consult with a multidisciplinary team, including an oncologist, endocrinologist, and possibly a hematologist, to address your complex medical situation. They can help coordinate your care and ensure that all aspects of your health are being considered.

Lastly, it is essential to prioritize your mental health during this challenging time. The emotional toll of a cancer diagnosis and the accompanying symptoms can be overwhelming. Consider seeking support from mental health professionals or support groups for cancer patients, as they can provide valuable resources and emotional support.

In summary, the lumps in your groin, combined with your other symptoms, require thorough evaluation and management. Do not hesitate to advocate for yourself and seek the care you need. Early detection and treatment are crucial in managing your health effectively, especially in the context of cancer.

Similar Q&A

Understanding Neck and Groin Lumps: When to Seek Medical Advice

Hello Doctor: I have noticed a hard lump about 1 to 2 centimeters in size on the upper right side of my neck and another in the right groin area. They don't cause any discomfort, but I am worried because they resemble descriptions of malignant tumors I found online. However,...

Dr. Zheng Jueyi reply Otolaryngology
Hello! If there are no significant changes in size, it is mostly a benign change. If you have undergone a CT scan and MRI, you can return to the same hospital to consult a general surgeon for further evaluation of these two areas. Wishing you health and happiness! Sincerely, Dr. ...

Understanding Groin Lumps: When to Seek Medical Evaluation

A groin lump approximately 2 centimeters in size has been present for over a year. It does not move when pressed and sometimes causes pain on the left side and sometimes on the right side. It appears once a month and resolves on its own after a week. Should I consult a physician ...

Dr. Chen Yunfang reply Oncology
Hello, your description seems quite uncertain. Please visit a gynecologist for an examination. Thank you.

Understanding Groin Masses: Symptoms, Causes, and Specialist Recommendations

Hello Dr. Fan, my girlfriend discovered a lump in her groin area about three weeks ago. The lump is elongated and resembles a leech, approximately five centimeters long, and appears slightly darker than the surrounding skin. It is painful to the touch and seems to worsen after ri...

Dr. Fan Sheng reply Oncology
Dear Kevin: It sounds like lymphadenopathy and inguinal hernia should both be considered. I recommend consulting with a hematologist-oncologist and a general surgeon. Thank you.

Understanding Post-Surgery Care for Papillary Thyroid Carcinoma

Hello Doctor: I underwent surgery in August to remove both sides of my thyroid, and the pathology report indicates a 1.2*0.8 cm papillary thyroid carcinoma (classical). Other excerpts from the report are as follows: Tumor capsule: none; Tumor capsule invasion: cannot be assessed;...

Dr. Yuan Tianmin reply Breast and Thyroid
Papillary thyroid carcinoma is a less common type of thyroid cancer. Typically, a bilateral thyroidectomy is performed, and postoperatively, iodine-131 therapy should be administered. For further details, it is advisable to consult your own physician, as some aspects can be quite...