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From the reports, it is evident that the nodule in the thyroid right lobe is enlarging over a year and present size is almost 8 cm. The FNAC shows an atypical cytology in the latest report. In this setting, in a 64yrs lady, it is best to under surgery to remove the right lobe and do a histopathology to get the proper diagnosis. it may be benign, but to rule out malignant nodule completely, FNAC is not enough and it is important to remove the lobe completely. It is advisable to undergo this procedure as soon as possible.
Hope this was helpful,
Patient replied :
Thanks a lot for replying.
- I have one concern here, howcome the FNAC at first place confirms that it is just nodular goitre. However, the second FNAC says atypical cytology. Why is the diffference in report?
- Also, my mother is diabetic patient with usually high level of sugar, so is it good to undergo surgery at this age alongwith diabetes?
- I was trying if the goitre could be cured with ayurvedic or homeopathic medicine thus avoiding surgery. Is it possible?
- Are there any risk for throid surgery? As it is situated at very close proximity to larynx, trachea etc and probably is a sensitive area.
- What is the after surgery recovery time and when can the patient get back to daily routine?
Thanks in advance for replying
1. FNAC done in a gap of a year can show different results as the nodule has enlarged and nature of cells in it might have changed. Also, FNAC takes a sample from a small area of the nodule. Another FNAC taken from another area may give different picture. The point is that nodule has increased in size beyond 5-6cm, and cells are atypical, which needs confirmation by a Biopsy which needs surgery (Removal of Right half of thyroid.
2.Diabetes can be controlled with Insulin prior to surgery and one need not worry about surgery once diabetes is controlled.
3. I am not aware of any Homeopathic or Ayurvedic cure for such a noodule. It will only waste precious time.
4. There is a small risk involved but in the present day, in experienced hands, its a very minor risk and is worth taking for the benefit.
5. Usually, within 3-4 days, she will be fine, and scar takes a few weeks to heal. Daily routine is hardly affected beyond a week.