Lymph Nodes and Thyroid Issues: Your Questions Answered - Breast and Thyroid

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Hello, I have a question.
I have round lumps on both sides of my neck just above the Adam's apple.
I have seen an otolaryngologist twice, and both said they are lymph nodes, but since they haven't disappeared, they didn't take any further action.
Both doctors performed a physical examination and checked my throat.
Is this examination and judgment appropriate? I have read online that it could also be related to the thyroid.
When I had the otolaryngologist examine me, the doctor said it was a benign lymph node tumor.
Does that mean it is unrelated to the thyroid?

Lai, 10~19 year old female. Ask Date: 2009/01/26

Dr. Wu Jingtang reply Breast and Thyroid


Dear Mr.
Lai: There are round lumps on both sides of your neck near the Adam's apple.
If two ENT specialists have confirmed that they are lymph nodes, you can feel more reassured! If it were the thyroid, the ENT specialists would also be able to detect that.
Benign tumors of the lymph nodes are generally not related to the thyroid! You don't need to worry too much; just keep an eye on whether they increase in size or become hard, and seek evaluation from a surgeon or ENT specialist if that occurs! Wishing you peace and health! Sincerely, Dr.
Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.

Reply Date: 2009/01/26

More Info


When it comes to understanding lymph nodes and thyroid issues, it's essential to consider the anatomical locations, the nature of the findings, and the clinical context. Based on your description, you have palpable round structures located just above the Adam's apple on both sides of your neck, which have been assessed by two ENT specialists who identified them as lymph nodes.

Understanding Lymph Nodes
Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. They can become enlarged due to various reasons, including infections, inflammatory conditions, or malignancies. In your case, the ENT specialists performed a physical examination, which is a standard initial approach to assess lymph nodes. They likely palpated the nodes to check for size, tenderness, mobility, and consistency, which are all important factors in determining the nature of lymphadenopathy (enlarged lymph nodes).

The fact that both specialists concluded that these are benign lymph nodes is reassuring. Benign lymph nodes typically feel firm but mobile and are not associated with systemic symptoms like fever, weight loss, or night sweats. If the lymph nodes are stable in size and not causing any discomfort, it is common practice to monitor them rather than pursue invasive diagnostics immediately.


Thyroid Considerations
You mentioned concerns about whether these could be related to the thyroid. The thyroid gland is located in the lower front of the neck, and while it is possible for thyroid nodules or goiters to be palpated, they typically present differently than lymph nodes. Thyroid nodules are often described as firm or rubbery and may be associated with other symptoms such as changes in voice or difficulty swallowing if they are large enough.

If the ENT specialists have assessed these structures and determined they are lymph nodes, it is likely that they are not related to the thyroid. However, if there are any changes in the characteristics of these nodes (such as increased size, firmness, or new symptoms), further evaluation may be warranted, potentially including imaging studies like an ultrasound or even a biopsy.


Follow-Up and Monitoring
Given that your lymph nodes have been assessed as benign, the standard recommendation is to continue monitoring them. Regular follow-ups with your healthcare provider can help ensure that any changes are noted early. If you experience any new symptoms, such as persistent pain, fever, or unexplained weight loss, you should seek medical attention promptly.


Conclusion
In summary, the assessments made by your ENT specialists appear to be appropriate based on the information provided. They have performed a thorough examination and have concluded that the lymph nodes are benign. While it is natural to have concerns about the possibility of thyroid involvement, the findings suggest that these are likely separate issues. Regular monitoring and follow-up with your healthcare provider will be key in managing your health and addressing any future concerns. If you have any lingering doubts or if your symptoms change, do not hesitate to seek further evaluation.

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