
Suggest Treatment For Difficulty Breathing Inspite Of Suffering From Hypothyroidism

Please upload the reports
Detailed Answer:
Hi,
Welcome to HCM. I have gone through your question and understand your concerns.
Please upload the ultrasound and FNAC (biopsy) reports, so that we can answer better.
We do surgical removal of thyroid when any of the following is there:
1. Size of nodule more than 4 cm
2. Pressure symptoms
3. Growth extending down the chest cage
4. Biopsy - cancerous or follicular neoplasm
If the swelling is big, causing pressure symptoms ( swallowing problems) and the initial reports says follicular neoplasm, it is better to do surgery. If you are having cardiac problems, do it in a centre where cardiology back up is there. First consult your surgeon and get his opinion.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist


Needs surgery
Detailed Answer:
Hi XXXXXXX
Welcome back.
I have gone through your reports. You should meet a surgeon and go ahead with surgical removal of thyroid.
One of your biopsy report say - "follicular neoplasm". In follicular neoplasm we cannot say whether it is benign (non cancerous) or malignant (cancerous). Though only 20% of these reports turn out to be cancerous after surgery, the current recommendation is to do surgery for all cases reported as "follicular neoplasm".
Second biopsy says normal - but this report cannot be relied 100%, as we are needling a large nodule and looking at the cells caught in a needle. So whenever there are 2 reports : one benign and another cancerous/ follicular we will take the abnormal one and go ahead with surgery.
So the best option for you is to go ahead with surgery.
If you are not going for surgical removal, you needs close follow up with ultrasounds and needle biopsies every 6-12 months.
No need to get worried about thyroid cancer as the chance of you having that with these reports is less than 20%. Even if it is cancer, it is the safest cancer. Surgical treatment will result in complete cure in more than 95% cases.
Hope this will clear your doubts.
Wishing you good health.
Regards
Dr Ajish TP


Wishing you good health
Detailed Answer:
Hi XXXXXXX
Great to know the information provided was useful to you.
Wishing you good health.
Regards
Dr Ajish TP

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