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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following CT Scan Report Suggest?

I am a 46 year old man who was diagnosed with Stage IIIc colorectal cancer in April 2014. As of my resection surgery in Sept 2014 I have been considered cancer free, had a complete response to treatment. I just took my annual CT tests and here are the concerning findings. Should I be worried? IMPRESSION: CENTRALLY HYPOATTENUATING SOFT TISSUE NODULE IN THE LOWER NECK IS UNCHANGED IN SIZE AND APPEARANCE FROM PRIOR EXAMINATIONS BUT MAY REPRESENT METASTATIC LYMPHADENOPATHY. ULTRASOUND EVALUATION FOR POSSIBLE PERCUTANEOUS BIOPSY RECOMMENDED. NO OTHER EVIDENCE OF INTRATHORACIC METASTATIC DISEASE. CALCIFIED HYPODENSE RIGHT THYROID NODULE UNCHANGED IN SIZE AND APPEARANCE. THYROID ULTRASOUND CAN BE PERFORMED FOR FURTHER EVALUATION. BOTH THIS AND THE LOWER CERVICAL SOFT TISSUE LESION COULD POTENTIALLY BE EVALUATED AT THE SAME TIME.
Fri, 6 Sep 2019
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General Surgeon,  's  Response
Hello,

As per my surgical experience, persistent thyroid nodule with previous history of colon cancer surgery, must be granted as suspicious of mets and must be biopsied at earliest.

A tumor marker CEA is very helpful in follow up of the colon surgery patient as well.

Hope I have answered your query. Let me know if I can assist you further.

Take care.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does The Following CT Scan Report Suggest?

Hello, As per my surgical experience, persistent thyroid nodule with previous history of colon cancer surgery, must be granted as suspicious of mets and must be biopsied at earliest. A tumor marker CEA is very helpful in follow up of the colon surgery patient as well. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Bhagyesh V. Patel, General Surgeon