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 »
Am I suffering from tuberculosis? Please clarify from my CT report.
Query: Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung. I am currently under thyroid cancer treatment. I got two computed tomography (CT) scans done for both the neck and chest. I have attached both reports here. Please help me in clarifying a few terms which I did not fo... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I went through both your CT (computed tomography) scan reports (attachment removed to protect patient identity). According to your CT report, there is no defect in the lungs. It only shows a collapse in certain parts. As you have mentioned you are currently under tre... Read Full »
How is thyroid cancer diagnosed?
Query: Hi doctor, I am a 41 year old male. My recent ultrasound of thyroid revealed multiple bilateral ganglion formation in area IV. The most prominent was 11 x 8 mm diameter in lower right cervical area. It was mentioned homogeneous thyroid. My doctor suggests clinical follow up due to the number of gang... Read Full »
Answer: Hi, Welcome to icliniq.com. Homogeneous thyroid usually suggests that gland is uniform in consistency meaning it is mostly benign. Thyroid nodules are fairly common; more so in women and the majority up to 95 % are benign. If you do not have major risk factors for thyroid cancer such as past exposur... Read Full »
Is thyroidectomy recommended for inconclusive thyroid cancer?
Query: Hi doctor, A year ago, I got a biopsy for two nodules in thyroid. The result for one was benign and the other inconclusive. This year I went back to a different doctor to redo my indeterminate biopsy. She advised me do for both again, because through ultrasound they look angry or vicious. In my righ... Read Full »
Answer: Hello, Welcome to icliniq.com. In this situation the most important fact would be to know whether there is a family history of thyroid cancer and which type. Not all thyroid cancers are the same; some are more aggressive that the others. Sorry, I was still trying to understand if the nodules are in... Read Full »
Kindly explain my attached thyroid FNA report.
Query: Hi doctor, Please find the attachments of my thyroid FNA report. The result showed suspicious of malignancy. I hope you explain to me further. Thanks in advance. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows. Yes, the report does say suspicious for malignancy. When sometimes, we are not 100% sure or if there is overlap with benign or normal findings, we do rep... Read Full »
Is adenoma related to thyroid cancer?
Query: Hello doctor, Before 20 years I had total thyroidectomy for follicular and papillary thyroid cancer. I also had three surgeries to remove benign lymph nodes. My levels had been pretty steady until the last one and a half year. I am post menopausal. I am now with the highest TSH value of 13.1. I did ... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi, Welcome to icliniq.com. Following total thyroidectomy, you will be kept on lifelong thyroid replacement therapy and if the therapy is inadequate TSH levels will rise. As long-term monitoring and to check the recurrence, the measurement of thyroid-stimulating hormone (TSH), thyroglobulin and anti... Read Full »
From the attached USG report, can you tell me the risk of thyroid cancer?
Query: Hi doctor, My mom is 62 years old diabetic patient. The following details are her thyroid gland ultrasonography report. Thyroid gland is in the normal position. The size of the thyroid gland is increased and extends to the substernal area. In the right lobe of the thyroid gland, there is a cystic de... Read Full »
Answer: Hi, Welcome to icliniq.com. The risk of cancer cannot be told exactly. Although the hypoechoic nodule, age and calcification are kind of in favor of malignancy. Ultrasonography of thyroid is not a sure test to diagnose malignancy. I would rather do FNAC (fine needle aspiration cytology) from both t... Read Full »
Do lumps in the throat indicate malignancy?
Query: Hi doctor, I felt two lumps in my throat next to my thyroid, so I was sent for a thyroid and lymph node ultrasound. For over a year, my symptoms, like fatigue, sweating, lack of concentration, etc., have slowly worsened. Is there any indication of a potential malignancy? Can you please review my re... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). There is a dark area in the right lobe of the thyroid, of which I am concerned. Usually, thyroid nodules are of different types, and cancer cannot always be predicted from an ultrasound scan. Th... Read Full »
Is there any alternative to bronchoscopy to get tissue for testing cancer?
Query: Hello doctor, I have a family friend that recently was admitted to hospital for shortness of breath. She was advised that after several examinations that she has a form of cancer. The information that we were provided with was that they were unable to ascertain where or how severe the cancer was. S... Read Full »
Answer: Hi, Welcome to icliniq.com. Confirmation of any form of cancer is by biopsy only when the malignant cells are visualized under a microscope and reported to be positive. Rest of the radiological test like HRCT and MRI are highly sensitive but not specific. I am assuming that the cancer was either d... Read Full »