Neck swelling with dysphagia

Chief complaint 34 y/o female presented for swelling over the neck & dysphagia. History She has family history of breast cancer and thyroid cancer. She has h/o leukemia. Investigations TSH 1.06. Thyroid ultrasound was done, it shows right thyroid lobe mass measuring 6*5*4.5 cm. Iodine uptake test shows right lobe nodule. Treatment Planned mx is total thyroidectomy. What is your advise?

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As pt is kco leukemia and strong family h/o of malignancy Thyroid swelling with h/o dysphasia in all possibilities is a c/o malignancy as iodine uptake indicates Yes hematologist clearing the stage you can plan for thyroidectomy

Thanx dr Dinesh Gupta
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USG show mass rt lobe of thyroid , radio uptake test should indicate wheather nodule is hot or cold ,result should has been loaded Thyroid profile will be helpful ifbthe nodule is cold one To confirm USG guided FNAC and to decide treatment accordingly.

Thanks Dr Jayesh kalbhande
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FNAC of nodule Results of iodine uptake study Examination of larynx are imp for finalizing the treatment

Thanks Dr. Dinesh Gupta ,Dr. Mrinal Kantil Pal, Dr. Kute Ankush
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Do FNAC . As explained by Dr. Mrinal radio uptake should indicate whether nodule is hot or cold. Review with above for definitive treatment

What was the result of iodine uptake studies, was it a cold nodule? ? FNAC of nodule Tissue diagnosis is mandatory before surgery .Has malignancy of thyroid proven in this case ?

Thank you, Dr Durgesh Patel
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SUGGESTIVE. OF LARGE. SIZED.. RIGHT THYROID. LOBE NODULE ADVISABLE... ..F. N. A. C BIOPSY POSSIBLY CANCEROUS

Right sided thyroid nodule Adv USG guided FNAC Further treatment based on finding of FNAC

Result of radio iodine is not posted. Coz before surgery it's advisable to have FNAC or Biopsy results.

? THYROID PATHOLOGY.. NEED'S.. HISTOPATHOLOGICAL STUDY.. CTCE STUDY..

Tnx Dr Vipin Bihari Jain sir
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Adv to do histopathology of the thyroid ,pet ct scan and oesophagoscopy if required

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