Dr Nagarajan works with a team of Endocrinologist, Pathologist and Nuclear Physician to provide comprehensive cancer care and give good results. Genetic screening and counselling are given to familial medullary thyroid cancer patients and their family members
Thyroid Malignancy
Common presentation is in form of solitary thyroid nodule or a goiter, often patient may be asymptomatic
Can have metastatic neck lymph nodes
Local invasion can present as hoarseness of voice, breathlessness and difficulty in swallowing
Bone, lung or brain metastatic spread is seen in advanced malignancy
Investigations
Can have metastatic neck lymph nodes
Local invasion can present as hoarseness of voice, breathlessness and difficulty in swallowing
Bone, lung or brain metastatic spread is seen in advanced malignancy
Investigations
- FNAC of the nodule( free hand or USG guided)
- Core needle biopsy
- serum calcitonin
- Ultra sonography of neck
- CT scan of neck
Differentiated thyroid cancer
Anaplastic ca
Lymphoma
- Papillary ca
- Follicular ca
Anaplastic ca
Lymphoma
Surgery is the main treatment option. Differentiated thyroid cancers are treated with Total thyroidectomy, neck lymph node dissection (if required) followed by radio iodine whole body scan and ablation.