Neck mass
Chief Compalint 53 y-o-m came with the complaint of asymptomatic neck swelling for 1 week. History 10 months back he presented with frequent painful urination with hematuria. Radiography showed a 4 cm solid prostate mass and a diagnosis of Transitional cell cancer was made with no lymphadenopathy or metastasis. Surgical resection was done with no complications. 10 months later, few days back he presents with neck swelling. Investigations Radiography shows coarse calcifications and 3.5 cm right thyroid nodule. Thyroid functions - wnl. FNAC was done, results pending. Treatment Advise next step in management.
Refer to Oncologist
Nodular colloidal goitre. Kanchanaarguggulu, kutajarisht, avipattikar churna, aarogyavardhini vati,giloy ghan vati helpful. Chemo+Radiotherapy. PET Scan..
Wait for fnac report
Nodullar Colloidal Goitre KIRATTIKTAK YOG 2-0-2 KANCHNAR GUGGUL2-0-2 TB NEEM 2-0-2 YAVAKSHAR CHANDRAPRABHA VATI2-0-2 GUDUCHI GHANA 2-0-2 AROGYAVARDHINI2-0-2 KUTAJARISHTA 2-0-2 WILL DEFINATELY HELP HER
All possibilities of secondaries in neck swelling which is likely in thyroid Yes it will need consistant observation If hpe suggest metastasis than adv will be resection and followed by chemotherapy
Oncologist opinion Chemo plus radio after PET SCAN
CA PROSTATE WITH SECONDARIES NECK.. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND REPORT OF FNAC ALSO CONSIDER FOR MANAGEMENT. RADIOTHERAPY CHEMOTHERAPY. ONCOLOGIST OPINION ON EVALUATION REQUIRED.
Early oncologists involvement is advisable.
Advised PET scan Chemotherapy + Radiotherapy Ref to Oncologist
? PROSTATE MALIGNANCY WITH.. NECK..SECONDARIES.. NEED'S.. PET SCAN STUDY.. ONCOLOGISTS OPINION.. CHEMOTHERAPY.. RADIOTHERAPY..
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