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Thyroid tumors with skin lesions

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Have diagnosed thyroid tumor on right side (and hot nodules on left, as well as a history of PCOS which seems to recur and remiss spontaneously. I am due for a partial thyroidectomy, but the surgeon was concerned about my facial, neck, and chest lesions, so cancelled my surgery last week after I was fully prepped. The lesions began about 14 months ago, a few months after I gave birth, and began as pruritic scaling rash to deep cystic lesions _without_ purulent, odorous discharge. Only profuse bleeding, skin peeling, and/or a gelatinous discharge, usually directly after bathing. I have also had idiopathic bleeding from the ears, axilla, and small (now large) breast lesions over the past year.
I have consulted three dermatologists, all of whom gave a cursory exam (<5 minutes w/o close exam) and dismissed the condition as acne excoree. The lesions seem to be mostly tracking/spreading over lymph lines. The largest lesion for some time was beneath my left ear, and began as a defined globular cyst, possibly dermoid, which spontaneously expelled a great deal of dark hair, epidermal, and calcinoid (almost tooth-like) matter after a prolonged swim in the ocean while I was on vacation.
The Thyroid cyst on the right lobe I am long-due to have removed measures at least 6 x 1.4 x 1.8 CM (not mm). I was able to have 10 ccs or so aspirated 2 years ago upon my first known instance of thyroiditis; however, a recent aspiration/biopsy attempt was largely unsuccessful, as the occlusive matter was too dense for the needle. A cursory cytology was inconclusive.I have several years worth of lab findings I can include, if necessary (including a recent left-shift in CBC, but neg for MRSA)

Category: Internal Medicine Specialist

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.


Thanks you for asking your query at DoctorSpring. Unfortunately in your particular case, I feel online consultation will not be of a much help. Nevertheless I will coordinate between our Dermatologist and Rheumatologist to offer you the best service possible.

Please note the consultation amount will be refunded to your account within 7 days. But this consultation will remain active. Ask requested by our Dermatologist pleas upload an photograph of your lesion.

Thank you

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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