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Can thyroiditis leads to cancer? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hi Doctor,

I am writing in behalf of my sister. She has thyroid problem for a long time, and she was not consistent in taking medications for that. Today, doctor suggested a scan and in the scan report, the "impression" is mentioned as "Diffuse hypoechogenecity of thyroid gland without increase in size and vascularity could be sequelae to chronic thyroiditis" and they suggested for an "FNAC". What does this mean? Is this a test to find the presence of any cancer? Is there anything to fear? Any surgery is required for this?

Please reply.

Regards,
XXXXXXX
Doctor:Hi
User:hi dcotor
Doctor:Give me a minute to read your post.
User:ok
User:ok
Doctor:Thank you.
Doctor:May I know if your sister has any lump in front of the neck?
User:1 min...let me ask her
User:no doctor...does not have anything..
Doctor:Ok.
Doctor:The thyroid scan does not reveal any serious pathology as a cancer.
User:ok..
Doctor:In a cancer one will have mixed echogenicity with increased vascularity
Doctor:The FNAC is suggested to confirm the scan findings.
Doctor:So she need not worry.
User:ok...so is this just a part of thyroiditis?
Doctor:I expect to have benign features on the FNAC test and yes, it is most likely part of thyroiditis.
User:ok..
User:ok...i will pass this message to her doctor..
Doctor:Is she advised FNAC by her treating doctor or the suggestion on the? scan report
User:suggestion on the scan report...
User:have to see the doctor next week
Doctor:Ok,
Doctor:It's looks very benign and not cancerous.
Doctor:So no need to concern.
Doctor:Is there any other queries?
User:ok...but as u said in the impression they mentioned about "vascularity"...
Doctor:Scans of the thyroid glands speak about nodules, echogenicity and vascularity.
User:ok..
Doctor:Presence of multiple nodules, mixed echogenicity and increased vascularity are suspicious.
Doctor:Accordingly what your sister has seems very benign, therefore we need not be concerned.
User:ok..thanks a lot doctor..
User:thanks for ur valuable time
Doctor:Let her treating doctor decided whether or not she requires the fine needle aspiration cytology.
Doctor:Hope it is clear to you.
Doctor:Do you have any other query?
Doctor:Are you there?
User:ya..doctor....I am here..
User:yes everything is clear...
User:thanks a lot
Doctor:Do you have any other queries that you wish to discuss?
User:no.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:bye
Doctor:hi
Doctor:This is Dr XXXXXXX
Doctor:how can I help you?
Doctor:I have to close this chat as you're not responding
Doctor:Please chat with our doctors 24X7 for your medical queries
Doctor:Hi
Doctor:This is Dr XXXXXXX
User:hi
User:I am writing in behalf of my sister. She has thyroid problem for a long time, and she was not consistent in taking medications for that. Today, doctor suggested a scan and in the scan report, the "impression" is mentioned as "Diffuse hypoechogenecity of thyroid gland without increase in size and vascularity could be sequelae to chronic thyroiditis" and they suggested for an "FNAC". What does this mean? Is this a test to find the presence of any cancer? Is there anything to fear? Any surgery is required for this?
Doctor:A FNAC means a fine needle aspiration cytology
Doctor:The test is meant to see the tissue under the microscope
Doctor:So that we can confirm the diagnosis
Doctor:If there is cancer, then the test can be used to find out
User:ok
Doctor:There is nothing to worry
Doctor:The need for surgery depends on symptoms
Doctor:If she is just fine
Doctor:non surgery
User:as per the impression, is there is anything cancerous ?
Doctor:her thyroid profile needs to be done
Doctor:no
User:ok
Doctor:depending on her status of the thyroid profile
Doctor:she may or may not need thyroid hormones
User:ok...fine..
User:she has difficulty swallowing fud for the last one week..
User:is it becoz of this?
Doctor:yes
Doctor:it could be
Doctor:it depends on how large the swelling is
User:ok..
User:ok doctor..
User:my worry was is it cancer or not ?
Doctor:I cannot say without a FNAC
User:ok
Doctor:is there any other concern that I can address?
User:ok....no doctor...
User:thanks u..
Doctor:Sure
Doctor:thanks for consulting me
Doctor:Happy New year
Doctor:bye
User:bye
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