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I have a lump in my throat, all blood tests were normal but the ultrasound showed a lot of little cysts. I had a repeat scan 6 months later and there was no change in size of shape so I've decided not to have the cysts removed as it would mean removing part of my thyroid which I don't want to do.
I had this recently. Bloods ok as well. I think it is pretty standard to have a biopsy on these lumps. Apparently, thyroid cancer is very rare and a very high percentage of these lumps is benign but I think a biopsy is pretty standard if they cannot rule out cancer 100%.
They told me they don't remove them unless there are concerns about cancer or if they are getting too big and put pressure on the e.g. trachea. Sometimes these lumps produce thyroid hormones and also need removing because thyroid levels are out of range. But if biopsy and/or scan is ok and there is no other issue, they leave them. At least that's what they told me.
Thyroid it's a functioning organ producing hormons and if a lump comes out, they usually have to remove half the thyroid, which is something they try to avoid as it can mess with your thyroid hormones.