I've just come back from seeing my GP about a lump on my neck in the thyroid area. I have had a sore throat for at least 3 months and have been prescribed antibiotics 3 times already for bacterial infections. I frequently lose my voice, one for almost 4 weeks constantly, or otherwise my voice is very deep and hoarse particularly in the mornings. I've had the sensation of a lump in my throat around Adam's apple height, and have a palpable nodule slightly off centre near the base of my throat. Today my GP finally decided to refer me on an urgent basis because of the growth of the lump (which begs the question why he hasn't done a standard referral sooner), to an ENT surgeon. He said that they would 'hopefully' scan my thyroid but if they didn't he would have to arrange that himself afterwards.
Is it normally an ENT specialist who would carry out the scan, or an endocrinologist? Also if a lump shows up am I within my rights to request a FNA or is that not necessary at this stage?
I think my concern comes from the fact that my hypothyroidism seemed to come on very quickly, and at first the bloods pointed more towards secondary hypothyroidism as TSH was in the lower range of normal but FT4 was well under range. My TSH has gone up quite steadily in the space of a few months which took my GP by surprise and contradicted what my endo said would be a normal pattern. I suppose I'm worried that the lump could point towards something more serious, and want to be sure it gets thoroughly checked out, but don't want to look like an idiot if a FNA isn't needed in these circumstances.
Sorry for the essay, and thanks in advance.