Download FREE Practo app
Get ₹200 HealthCash
Thyroid nodules
Having Neck pain from 3-4 months Neck sonography shows two collide nodules One around 5×4 cm and one of 4 mm Went for FNAC report One shows medullary carcinoma category 6 Did another FNAC in different hospital.. it showed hashimotosis category 2
What we should do?
TSH, t3, t4 are normal
Calcitonin <2 mg (ideal <8mg)
Answers (5)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Do usg guided biopsy if feasible
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced oncologist online and get your health questions answered in just 5 minutes.
+151
Dr. Snigdha Elaprolu
Head and Neck Oncologist
4 yrs exp
Hyderabad
Get you medullary thyroid carcinoma slides reviewed by good pathologist for second
Calcitonin is normal on this.
Get your neck and vocal cords checked too as part of clinical examination for thyroid
If Medullary thyroid carcinoma(MTC) is confirmed,
1. Please get plasma /urine metanephrines to rule out pheochormocytoma(other associated endocrine tumours with MTC
2. get Surgery done (Total Thyroidectomy)
3. Get genetic testing for RET proto-oncogene
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shubham Jain
Surgical Oncologist
19 yrs exp
Delhi
Can get Slides reviewed. Can get S. Calcitonin level. Would need to see the patient.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Joydeep Ghosh
Hematologic Oncologist
18 yrs exp
Kolkata
Review the slide that shows medullary ca thyroid from a good reference lab. If it shows the same , you will need surgery
Different samples of fnac can have different histology due to variability of tumor distribution
Ao i wid suggest get the review of the slide done
Next Steps
Review of slides
Health Tips
Medullary ca should be urgently addressed
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. V Sreekanth Reddy
Surgical Oncologist
14 yrs exp
Bangalore
Any family history?Take second opinion in the slides.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.