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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Sore Throat, Pain, Burning, Swallowing Pain. During Diagnosis Detected High TSH, One Bulky Thyroid Lobe. Throat Cancer?

My wife is having problem with sore throat, throat pain and burning sensation in throat. She has diagnosed and during diagnosis it was detected TSH level is high , T3 and T4 are normal. There is minimal bulky in right lobe in thyroid gland. Sometimes she is facing pain to sallow also during eating. Is it a symtomps for throat cancer? Pls suggest. I am bit worried of her.
Tue, 23 Apr 2013
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General & Family Physician,  's  Response
Hi,
Your wife is having burning sore throat, painful. She has got pain during swallowing movement. Clinically she is having a bulge in the right lobe of thyroid. Routine investigations reveal elevated TSH and normal T3 & T4.
TSH is secreted by Pituitary gland in the brain to have a moderator effect over thyroid which secretes T3 which is converted into active T4.
Usually when TSH level is elevated the levels of T3 & T4 should be low.
So Your wife needs a complete evaluation of thyroid profile once again including Free T3 & Free T4
X-ray neck/Chest/ para nasal sinuse and MRI of Thyroid
Complete clinical examination of Thyroid area and neck to find out any palpable lymph node
You have to watch for any alteration of voice.
Complete ENT evaluation
Throat pain may be a related or unrelated pain.
Endocrinologist consultation is a must.
Her menstrual history has to be evaluated
Keeping all the investigation results the surgeon may come to a conclusion.
Till then don't assume and worry.
Best wishes

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Have Sore Throat, Pain, Burning, Swallowing Pain. During Diagnosis Detected High TSH, One Bulky Thyroid Lobe. Throat Cancer?

Hi, Your wife is having burning sore throat, painful. She has got pain during swallowing movement. Clinically she is having a bulge in the right lobe of thyroid. Routine investigations reveal elevated TSH and normal T3 & T4. TSH is secreted by Pituitary gland in the brain to have a moderator effect over thyroid which secretes T3 which is converted into active T4. Usually when TSH level is elevated the levels of T3 & T4 should be low. So Your wife needs a complete evaluation of thyroid profile once again including Free T3 & Free T4 X-ray neck/Chest/ para nasal sinuse and MRI of Thyroid Complete clinical examination of Thyroid area and neck to find out any palpable lymph node You have to watch for any alteration of voice. Complete ENT evaluation Throat pain may be a related or unrelated pain. Endocrinologist consultation is a must. Her menstrual history has to be evaluated Keeping all the investigation results the surgeon may come to a conclusion. Till then don t assume and worry. Best wishes