What could be the cause of a painless swelling in the throat, that is gradually increasing in size?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Based on the information you provided, it is evident that you have swelling in the right lobe of your thyroid gland. The ENT specialist's recommendation for USG (ultrasonography), FNAC (fine needle aspiration cytology), and TFT (thyroid function test) was appropriate as it aids in making informed decisions about your condition. Thyroid gland swellings can occur due to various reasons, including physiological changes, inflammatory conditions, benign tumors, and thyroid cancers. Based on the reports (attachment removed to protect the patient's identity), it appears that you have a benign swelling (colloid) of the thyroid gland, and surgery is not an absolute requirement except for cases of thyroid cancers. Surgical removal is only indicated if you are concerned about the cosmetic appearance of the swelling. You will need to weigh the cosmetic benefits of removing the swelling against the presence of a neck scar that may result from the surgery. In this condition, medications are not likely to be effective, and surgery remains the only viable option, especially if the swelling is prominently visible in the neck. Ultimately, the decision regarding surgery should be made by you, taking into consideration your cosmetic concerns. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I would like to inform you that normal thyroid glands can have small to big nodules in adults. In long standing nodules of thyroid gland there can be degeneration of the nodule and calcium deposition inside them. This is is known as calcification. Whenever there is calcification it is mandatory to get a FNAC (fine needle aspiration cytology) to rule out malignancy. Your FNAC does not show any malignancy or cancer of thyroid. In this situation it is left to the affected individual to decide on surgery as only indication of surgery here is cosmesis. Subcentimetric lymph nodes are common in neck in normal individuals. It does not really mean anything. Increased vascularity is expected in a benign nodule as it requires more blood supply to grow compared to normal thyroid gland tissue. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. The RF ablation (radiofrequency ablation) of thyroid nodules is still in the experimental stage, and there is not enough evidence to support its safety. Therefore, RF ablation is not considered a proven method of treatment for thyroid nodules at this time. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.