Large thyroid mass

Chief Complaint A 34 y/o female came with the complaint of dysphagia for solids & liquids. History She had a family history of thyroid and cervix cancer. She drinks & smokes occasionally. Examination Physical examination shows a solid, non-tender goiter. Investigations TSH was 1.07. Thyroid ultrasound was done which shows multi-nodular thyroid with a large left lobe mass measuring approximately 6.1×5.2×4.9 cm. Iodine uptake test shows a ‘cold’ nodule in the right lower pole of the right lobe Treatment Is total thyroidectomy the only option?

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Thyroid mass, euthyroid status Adv FNAC 1) Most common and likely pathology - colloid goiter, no need of surgery - surgery to be done if patient insist on surgery for cosmetic purpose 2) If FNAC shows any of the pathology - papillary carcinoma, follicular pathology, medullary thyroid carcinoma - surgery is a must

Thyroid pathology. Cold nodule should be removed and condition of the pt assessed and monitor if prove otherwise total thyroidectomy is the only option.

Thanks Dr Pushkar Bhomia
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Goitre Lt lobe enlarged and multilobulated may be compressing oesophagus and cause of dysphagia Yes thyroidectomy total or subtotal depending on mass extent

? THYROID PATHOLOGY.. ? THYROID SWELLING..MASS .. ENDOCRINOLOGIST AND SURGEONS OPINION FOR FURTHER MANAGEMENT..

Nodullar Colloidal Goitre Hamsapathyadi kashayam and Kanchanaraglggulu two times a day .Varunadi kashayam also two times a day .External application Nandhiyarvattadi lepam.

At least cold nodule should be removed then asses pt weather required total thyroidectomyor not

USG FNAC of cold nodule , if malignant total thyroidectomy with level 6 neck dissection......... IF FNAC non malignant subtotal thyroidectomy.

If thyroid is cause of dysphagia

Thyroid mass leads to dysphasia Adv : FNAC

Cold nodule must be removed. Kanchanaarguggulu, shigru guggal helpful. Thyroidectomy .

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