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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Thyroid Nodules

I have had a couple of nodules on my thyroid with low vitamin D an B12. I Was not to concerned until my lymph nodes started to swell in my neck. My THS level Is 3.5 is there a chance of Hashimoto or should I be more concerned with the new development of swollen glands. I am having a hard time swallowing and voice changes. I have had depression, hair loss and ear pain with this
Thu, 29 Jan 2015
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Swollen thyroid nodules with new development of lymph nodes is not good.
2. It does not appear to be Hashimotos thyroidits.
3. It appears to be more possibly papillary carcinoma, which commonly present with secondaries/metastasis in the cervical lymph nodes.
4. FNAC or biopsy of the cervical lymphnodes or ultrasound guided aspiration of thyroid nodules can help in confirmation of diagnosis.
5. It has excellent prognosis. Treatment needs to be started at the earliest. Meet your doctor for test and treatment.
6. Hypothyroidism might be associated also, looking at other symptoms, and will require thyroxine therapy. Also Vit D and B12 supplements essential.
Hope it helps.
Any further queries, happy to help again.
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Suggest Treatment For Swollen Thyroid Nodules

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Swollen thyroid nodules with new development of lymph nodes is not good. 2. It does not appear to be Hashimotos thyroidits. 3. It appears to be more possibly papillary carcinoma, which commonly present with secondaries/metastasis in the cervical lymph nodes. 4. FNAC or biopsy of the cervical lymphnodes or ultrasound guided aspiration of thyroid nodules can help in confirmation of diagnosis. 5. It has excellent prognosis. Treatment needs to be started at the earliest. Meet your doctor for test and treatment. 6. Hypothyroidism might be associated also, looking at other symptoms, and will require thyroxine therapy. Also Vit D and B12 supplements essential. Hope it helps. Any further queries, happy to help again.