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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Post Thyroidichotomy

Hello: I underwent a thyrodichotomy in 2004 and I am taking 100 thyroxine, however, a thyroid remenents exist 10*10*6. The thyroid carcinoma was said to be medullary. Recently, I went a follow-up Neck and CT scan due to a pain in the chest and difficulty in swallowing. The Imagings reveal no evidence of enlarged cervical lymph nodes, however, the there is a 2 * 2.7 (mediastinal window) homogeneous hypodense soft tissue density lesion at the superior mediastinum with tiny peripheral clacification. What does this mean? Does it indicate a tumor in the chest, neck or lymph nodes? what should I do next?
posted on Fri, 18 Apr 2014
Twitter Fri, 9 Jan 2015 Answered on
Twitter Fri, 9 Jan 2015 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi thanks for using Healthcaremagic ...
Have you ever done Iodine uptake scan after the surgery....You have to also look for Serum Tg and Tg antibody levels (with thyroxine and without thyroxine).
If the iodine uptake scan shows remnants then you have to go for remnant ablation with high dose iodine.You will have to undergo screening periodically..
Please consult an Endocrinologist ..He will do the necessary things....
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Suggest Treatment For Post Thyroidichotomy

Hi thanks for using Healthcaremagic ... Have you ever done Iodine uptake scan after the surgery....You have to also look for Serum Tg and Tg antibody levels (with thyroxine and without thyroxine). If the iodine uptake scan shows remnants then you have to go for remnant ablation with high dose iodine.You will have to undergo screening periodically.. Please consult an Endocrinologist ..He will do the necessary things....