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Larger THYROID in MRI. Is BIOPSY, CAT scan needed?

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I just had an MRI done on my neck and my doctor found my thyroid to be 10 times larger than normal. He has me seeing an endocrinologist where he said he will likely do an CAT scan and take a biopsy. He described my condition as serious and said that most likely I would be coming back to him for surgery. What questions should I ask the endocrinologist? I am a 47 year old male that is otherwise healthy.

Category: Endocrinologist

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Category: Diabetologist
 32 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
You have a goiter, that's just an enlarged thyroid. You need to test thyroid functions by TSH, T4, T3 and tpo antibodies. Fine needle aspiration for cytology needs to be done too. Further treatment can be decided later.
Surgery is the last resort.
Kindly ask your endocrinologist and get the investigations done and get back to me with your values.
Regards.


Patient replied :

So I had an ultra sound and he found noduals the left size was very large 4 cm by 4 cm by 4 cm he saw some bloodflow though the nodual that he desribed as suspicious but not nessarily cancer then he looked at the right side and he saw a nodual that was much smaller but looked more suspicious. He said that regardless of whether it is cancerous I would need surgery because the left side is starting to obstruct my airway. He is doing all the test excpet the t3 test and I get the neddle test into each nodual next Wednesday. ANything else I should ask?


Yes, you will require surgery as nodule is 4cm irrespective of your needle test. It is the only way to definitively exclude cancer of thyroid.
Regards.


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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