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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abscess On The Neck With Pain After Thyroidectomy?

Hi I am a 33 year old male, have previously been diagnosed with thyroid cancer resulting in a total thyroidectomy. I currently take 200mcg thyroxine per day. Approximately 10 days ago an abcess developed on my neck which had a very hard lining. I took amoxicillin for 4 days which did not seem to have any effect. I then went to the hospital and they incised the abscess, let it drain naturally and used forceps to break down the hard walls. I have been changing the dressing daily and the abscess has not reduced in size and the surrounding area is still hard. I am due to go back to the hospital tomorrow for a follow up appointment and was wondering what the next step may be. I was also prescribed a stronger antibiotic, co-amoxiclav which I have now been taking for 3 days.
Wed, 7 Jan 2015
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Oncologist, Surgical 's  Response
The abscess may or may not be related to the thyroid cancer. Possibilities are a simple pyogenic abscess (for which the treatment you are taking is adequate), tuberculosis or thyroid cancer in a node. I would suggest to continue the same treatment for atleast 10 days and if the abscess is not resolving, then to take a biopsy from the walls of the abscess cavity. That will settle the issue
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What Causes Abscess On The Neck With Pain After Thyroidectomy?

The abscess may or may not be related to the thyroid cancer. Possibilities are a simple pyogenic abscess (for which the treatment you are taking is adequate), tuberculosis or thyroid cancer in a node. I would suggest to continue the same treatment for atleast 10 days and if the abscess is not resolving, then to take a biopsy from the walls of the abscess cavity. That will settle the issue