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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need advice on diagnostic symptoms of cancer.

Hi I had an ultrasound that showed multinodular goitre, a cystic mass with solid components and thyroid lower poles reaching both sides of the neck, I have been feeling lethargic had weight loss and difficulty breathing I am concerned about thyroid cancer
Mon, 19 May 2014
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Oncologist 's  Response
You need further investigations.

1. Thyroid function tests TFTs to see if you are hyperthyroid, euthyroid or hypothyroid.

2. An ultrasound of neck and an ultrasound guided FNAC (fine needle aspiration for cytology ) of suspicious nodule in thyroid to get to a diagnosis.

Dyspnea can be due to pressure on wind pipe from goitre. A chest radiograph should be done to see lungs for any abnormality.

Weight loss can be due to a hyperfunctioning thyroid (Hyperthyroidism) but a malignancy should be suspected.

I hope it helps.
Please discuss it with your doctor.
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