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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Thyroid Nodules?

My thyroid has multiple nodules and I did have a thyroid uptake scan. My doctor said the scan shos it s high all across the board. Does this mean I have hyperthyroid.? My glands have been swollen for in my neck also in my groin and I have one under my arm pit. They have been checked and a couple of years ago I had a couple from my groin removed to check for cancer, it was negative. I don t know what s going on with me. I feel anxious and feel like I have tremors inside, very nervous, but also tired. Could all of what I say be related to my thyroid? My email is YYYY@YYYY
Tue, 3 Nov 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The thyroid nodule needs to be investigated.
Thyroid nodule can be due to goiter or thyroid neoplasm.
Thus, few investigations need to be done to determine the nature of lesion and plan its treatment.
An ultrasound of the neck needs to be done to assess whether the nodules are cystic or solid.
The ultrasound needs to be followed by fine needle aspiration cytology wherein a needle is inserted into the swelling, cells are aspirated and stained with appropriate stain.
The aspirated cells are examined microscopically to determine the nature and character of thyroid cells.
A thyroid function test should also be done to determine the status of thyroid.
As you have mentioned that some other lymph nodes are also enlarged- in armpit, groin etc, these lymph nodes also need to be aspirated similar to the thyroid swelling.
Management will be planned once diagnosis is made after investigations.

Thanks and take care
Dr Shailja Puri

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What Are The Symptoms Of Thyroid Nodules?

Hello and welcome to HCM, The thyroid nodule needs to be investigated. Thyroid nodule can be due to goiter or thyroid neoplasm. Thus, few investigations need to be done to determine the nature of lesion and plan its treatment. An ultrasound of the neck needs to be done to assess whether the nodules are cystic or solid. The ultrasound needs to be followed by fine needle aspiration cytology wherein a needle is inserted into the swelling, cells are aspirated and stained with appropriate stain. The aspirated cells are examined microscopically to determine the nature and character of thyroid cells. A thyroid function test should also be done to determine the status of thyroid. As you have mentioned that some other lymph nodes are also enlarged- in armpit, groin etc, these lymph nodes also need to be aspirated similar to the thyroid swelling. Management will be planned once diagnosis is made after investigations. Thanks and take care Dr Shailja Puri