LUMP IN THE THYROID GLAND

LUMP IN THE THYROID GLAND
The thyroid gland, which is shaped like a butterfly, is in the front part of our throat. This is located around the larynx and the trachea (wind pipe). The larynx moves up and down when swallowing and the thyroid follows. A lump in the thyroid gland can occur on the side of the neck. This lump could be a cancer or a harmless lump. Further investigations are imperative. a) A pathologist will do an aspiration biopsy (which involves taking a cell sample from the lump). If it is diagnosed as a cancer, the thyroid gland will be removed surgically. The removal of the lump alone is not enough. b) An ultra sound scan of the neck to check whether the lump is solid or cystic.(filled with fluid) It also indicates whether the gland has a single lump or multiple lumps. If there are multiple lumps, it is unlikely to be cancerous. c) T 99 thyroid scan is done to investigate activities inside the gland. If it is under-functioning, it will be removed surgically. d) The level of thyroid hormones in the blood must be investigated. The removed gland is sent to a pathologist. If it is a cancer, the patient will be referred to an oncologist for further management. Oral Radioiodine therapy is given to destroy the remaining disease. A Large dose of thyroxine is given to keep the activity of the remaining thyroid tissue suppressed. Early diagnosis of thyroid gland cancers has a better prognosis.One can lead a normal life after the disease is fully controlled. Patient has to attend to clinic according to the instructions given by the oncologist.