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This question was answered on Sun 18, Jul 2010 01:04am by bobby s, md

Breast Cancer         Prostate Cancer         Lung Cancer         Colorectal Cancer         Skin Cancer         Ovarian Cancer

Correlation between Hx. of Follicular-Papillary Throid Ca and axillary nodule



      
Asked by teadkin (Female; 41; Positive for Thyroid Ca. I-131 tx. 2005 Lumpectomy 2010; Relevant drugs:Synthroid 0.15, Cytomel 5mcg. BID ) on Sat 17, Jul 2010 09:20pm :

Healthy female diagnosed at 35 yr old with Stage II Papillary Follicular Thyroid Ca, Thyroidectomy I-131 Tx. Negative for remission, f/u every 3-6 months with ultrasound and biopsies in small nodule in the area of previous thyroid ca. All labs are negative. Labs last tested 4/10. 1/2010 Lumpectomy performed on (R) breast for clustered microcalcifications. No complications. Recently discovered lump in (L) axillae with tenderness. (R) axillae is negative for tenderness or swelling. No family history of Cancer, negative for alcohol and smoking. Four full-term pregnancies without complications. **I am wondering if I should follow-up with the breast surgeon or physician who follow me for my Thyroid Ca. They are both very well respected physicians at The James Cancer Center in Columbus, Ohio. I'm not sure which is the appropriate one to see. I also am wondering if you believe that there is a correlation between Thyroid Cancer and the axillary lump or the breast history and this new lump. Do you think that I have a more substantial risk for the lump to be cancerous than a woman my age (41) without the history. I considered waiting until my next menstrual cycle to see if it was related (I am currently at day 27 of my cycle), because I don't feel that I need to rush in to see a physician. My husband and family are suggesting otherwise. What would be your feelings about the urgency of being seen, is a month too long to wait? **I am an old non-practicing L&D nurse. Thank-you
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Answer by bobby s, md (oncologist) on Sun 18, Jul 2010 01:04am:

Hello,

Thyroid cancer spreading only to the left axilla is very uncommon, but not impossible. A tender node being cancerous is uncommon, but not impossible. A right breast lesion spreading to left axilla is very uncommon, but not impossible. Therefore, I do not suspect cancer to be the underlying diagnosis of the tender lump in the left axilla. Your recent investigation was normal, which is reassuring.

However, I would suggest that you see the doctor without waiting for a month. It may be a good idea to initially see your present (thyroid) oncologist, and have him/her examine your axilla, and if necessary, make appropriate tests/referrals.

All the best, and God Bless!


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