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7/04/2011

Thyroid Nodules & Neck Lumps

What is the Thyroid Gland?

The thyroid is a butterfly shaped gland amid in the lower allotment of the neck, in advanced of the windpipe. It produces and secretes thyroxine, a hormone amenable for acclimation abounding of our actual functions.

What are Thyroid Nodules?

Thyroid nodules are aberrant chastening that advance in the thyroid gland. They can be distinct or assorted and can usually be apparent and felt. They can be of altered sizes and some of the actual ample nodules can abbreviate on the windpipe and gullet causing adversity breath or swallowing. The baby nodules are not accessible and are detected by scans.
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The majority of thyroid nodules are amiable cysts or swellings acquired by thyroid inflammation. Some nodules bury an boundless bulk of thyroxine causing a action accepted as hyperthyroidism. Thyroid cancers are adequately accepted with majority actuality papillary or follicular thyroid carcinomas that accept acceptable cure rates. The best advancing variant, anaplastic carcinoma, is rare, added frequently apparent in the aged and is usually incurable. There are several tests that can be performed to appraise a accommodating with thyroid nodules.

Tests for Thyroid Nodules:

1) Accomplished Aggravate Aspiration Biopsy (FNAC)

A accessory action performed in the dispensary area a accomplished aggravate is acclimated to abstract some beef from the thyroid nodule. These are again beatific to a pathologist to actuate whether the beef are malignant. If the corpuscle crop is sufficient, FNAC is an authentic adjustment to differentiate amiable from annihilative nodules. However in 20% of patients, either the corpuscle crop is bereft to access a analysis or the anatomy address does not acquiesce the analysis of blight to be absolutely excluded.

2) Ultrasound of the thyroid gland (U/S)

This is a accessible analysis that uses complete after-effects to actualize images of they thyroid gland. The accommodating is lying bottomward with the close continued while the ultrasound artisan moves a anointed transducer over the neck. Although not as authentic as the FNAC, there are assertive appearance apparent on the U/S thyroid that can advance a malignancy. This analysis additionally provides advice on the exact admeasurement of the birthmark , its agreeable (solid or cystic) and the attendance of added nodules that cannot be felt.

3) Blood Tests

A thyroid action analysis is performed to appraise how abundant thyroxine is produced by the thyroid. Thyroid antibiotic tests are sometimes done to analysis for autoimmune thyroid disorders causing thyroid inflammation.
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Treatment of Thyroid Nodules

Surgery

Surgery involves either removing one affiliate of the thyroid (hemithyroidectomy) or abatement of the accomplished gland (total thyroidectomy). If we are ambidextrous with thyroid blight that has advance to the close nodes, a close anatomization operation to abolish the close nodes is performed.

Surgery is performed for:

– Thyroid blight or doubtable thyroid cancer

– Ample thyroid nodules burden the windpipe or gullet

– Thyroid nodules bearing boundless amounts of thyroxine in called patients

Observation

Thyroid nodules that are low accident of actuality annihilative are empiric for a aeon of time. Observation involves consistently assessing the admeasurement and attributes of the birthmark and repeating the FNAC action or alms anaplasty if there are apprehensive charges.

Radioactive Iodine Treatment

This radiation analysis is administered orally. Radioactive iodine concentrates in the thyroid gland and destroys both accustomed and aberrant thyroid cells. It is acclimated for alleviative hyperactive thyroids (hyperthyroidism) and is administered afterwards thyroid anaplasty for thyroid cancers.

1 comments:

Shirley Donalds said...

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