Recently Answered Questions
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I have enlarged cervical lymph nodes. Please help.
Query: Hi doctor, I have 4 enlarged cervical lymph nodes in my neck. Two are cystic and have calcification inside. There are also 3 small nodules on my thyroid. Two are about the size of a tiny dot and one is 0.25 inch. All blood and thyroid tests came back normal. Full body PET-CT showed no abnormal activ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. Papillary thyroid carcinoma is the most common type of thyroid cancer which if detected in early stage has good prognosis. It spreads locally mostly to adjacent structures including lymph nodes. Small... Read Full »
I have a tumor. Please review my pathology report.
Query: Hi doctor, Could you answer from my pathology report whether the tumor was encapsulated or nonencapsulated? Does it show a positive margin or a free margin? Could you explain the findings in detail? Thanks in advance. Read Full »
Answer: Hi, Welcome to icliniq.com. Hope this report finds you in good health. Based on your query, my opinion is as follows: In the report (attachment removed to protect patient identity), there is no mention of an encapsulation. Usually in classical papillary carcinoma as you had, there is no capsule ofte... Read Full »
I am feeling anxious about my thyroid surgery. Kindly help.
Query: Hello doctor, I am supposed to have surgery to remove my thyroid due to papillary carcinoma. I have been monitoring it for two years and canceled surgery twice already as I feel fine I am more scared of the surgery than cancer. It is 2.4 cm on the right side with no sign of spreading. I am hoping fo... Read Full »
Answer: Hello, Welcome to icliniq.com. Thyroid carcinoma in a male is always not to be taken lightly and papillary carcinoma is of the most dangerous variety. You should undergo the surgery rather than suffer from the problems of metastasis and local invasion. Thank you. Read Full »
Why do my pathology reports suggest NIFTP?
Query: Hello doctor, I have had my left and right thyroid lobectomies done. Currently, I am taking tablet Levothyroxine. I have the follicular variant of papillary cancer, but my pathology report suggests NIFTP. I am attaching my reports for your reference. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and will help you regarding it. I have seen the attached provisional report (attachment removed to protect the patient's identity). The diagnosis of a follicular variant of papillary cancer requires a capsular invasion by tumor cells on hist... Read Full »
Is radiation therapy needed after thyroid cancer surgery?
Query: Hello doctor,My aunt was diagnosed with stage-2 thyroid papillary carcinoma. Since it started to spread to the lymph nodes, the doctor suggested a thyroidectomy. Last week she underwent surgery. Now when she went for a follow-up, they recommended radiation therapy. Before the surgery, they said that... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. First, I want to tell you that this type of thyroid cancer has an excellent prognosis. At this stage, the cure rate is more than 90 %. If the surgery has been done successfully and the whole tumor, including lymph nodes, is removed, it is g... Read Full »
Are positive thyroglobulin antibodies due to recurrence of my papillary thyroid carcinoma?
Query: Hello doctor, I had a thyroidectomy four years back due to papillary carcinoma of the thyroid. I have been getting tested for thyroid profile, thyroglobulin, and thyroid autoantibodies every six months. I gave birth to my baby four months back. My doctor has changed the thyroxine dosage from 125 mcg... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I have reviewed your reports (attachment removed to protect the patient's identity). 1. Post-operative histopathology suggests unifocal (restricted to one site) papillary carcinoma of the thyroid gland without lymph node metastasis which sugg... Read Full »
How is papillary thyroid carcinoma treated?
Query: Hello doctor, My mom has thyroid papillary carcinoma. Five months back she got a surgery in both sides of her thyroid gland. What is the best treatment for this? Please guide. Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your mother's state. The protocol of treatment of papillary carcinoma of thyroid is total thyroidectomy followed by therapeutic radioactive Iodine therapy. Radioactive Iodine is given to detect and eradicate any residual tumor left after surgery. Res... Read Full »