Anterior neck swelling

A 16-year-old female presents with Anterior Neck swelling. Noticed this swelling 4weeks back and it progressively increases overtime associated with irregular menses, anxiety, and occasional awareness of her heartbeat. She denies all obstructive symptoms Local USS: lipoma Currently waiting for results on renal, live and troponin rest. Please give your suggestions.

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Anterior midline swelling . D/D Goiter of thyroid isthmus and pyramidal lobe Lipoma, Dermoid cyst Thyroglossal cyst . Hyperthyroid nodule . Although USG suggests- Lipoma , a F.NAC is,needed to confirm the Diagnosis. If it is lipoma,- surgical excision indicated. Her symptoms of anxiety, awareness of heart beat , irregular menses are in favour of a hyperthyroid nodule or hot nodule . A thyroid profile T3, T4 and TSH should be done . I think it must be lipoma with anxiety neurosis. Etizolam 0.25 mg B.D can help

Swelling seen is in midline on anterior surface of neck just look does it moves with swallowing as it appears to throid swelling GOITRE May be lipoma as you said but unlikely to move with swallowing Confirm by fnac

Thanx dr Dinesh Gupta

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Thyroglossal cysts.. It  can be defined as an irregular neck mass or a lump which develops from cells and tissues left over after the formation of the thyroid gland during developmental stages. Thyroglossal cysts are the most common cause of midline neck masses and are generally located caudal to (below) the hyoid bone.. Needs to confirm with FNAC.

Thyroglossal Cyst Needs further investigation and evaluation to conclude that treatment plan. USG, thyroid profile and FNAC .

Thanks Dr Vipin Bihari Jain

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Thyroiditis with Hypothyroidism ( Possibly). Blood for T3 T4 TSH Anti TPO antibody. USG of Thyroid. FNAC from Thyroid.

When inflamation at thyroid carteledges is primaryly apoearent...i think medical intervention to start with Thyroid Profile & Anti TPO3.. Than one can proceed for authantic line of treatment.

Advise Thyroid profile . Suspected thyroiditis

Thanks Dr. Kute Ankush

Seems to be a case of thyroid swelling may be Goitre Thyroglossal cyst USG. to confirm Thyroid function test FT3, FT4 and TSH. FNAC

Swelling in region of thyroid ? Thyroid nodule ? Lipoma Adv Sonography FNAC Thyroid function test


Tnx Dr Vipin Bihari Jain sir
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