After several trips over five months to the GP complaining about throat issues, (feeling like i had a swollen and sore throat) I was sent to an ENT who ordered an ultrasound. The radiologist found a 1cm lump on the left thyroid gland and two smaller lumps on the right lobe and then made two passes/attempts at FNA because of the larger one because of characteristics he observed including that it was hypoechoic. He also said that it was solid but had difficulty obtaining enough of a sample. The radiologist said i did not have a goiter and that he was sure the lumps/nodules were not autoimmune related. I have had thyroid antibodies but they were within the normal range. The result of the FNA cell analyais was a Thy 3a- --stating that it was a follicular legion of unknown significance.
The ENT doctor has suggested a repeat FNA cytology in a few weeks. Is the Afirma test available in the UK?
I have a nunber of symptoms such as a swollen tongue, difficulty swallowing and pain along my right jaw and sometimes the right inner ear. The radiologist said he thought the lump was too small to be causing my symptoms. I am a little worried as i have also recently been diagnosed as having an off the charts level of intraepithileal lymphocytes (IELs) in my small intestine but the cause for this has not been found despite many tests. The current diagnosis from my gastroenterologist is that i am a resistant celiac and the high the very high IELs means that it could turn into an agressive lymphoma of the small intestine so it has to be monitored with repeat endoscopy and colonoscopy . Although i was never diagnosed with celiac disease i stopped eating any gluten or dairy almost four years ago in an effort to improve my longstanding gastrointestinal issues/pain.
Any thoughts or advice would be much appreciated?