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A 39-year-old female asked:

left thyroid papillary carcinoma. some follicular cells show hurthle cell/oncocytic changes. is the treatment generally thyroidectomy & rad. iodine?

3 doctor answers4 doctors weighed in
Dr. Todd Woltman
General Surgery 30 years experience
It depends.: It depends on the size of the tumor. Most surgeons agree that total thyroidectomy is preferable, although there are dissenters. This allows treatment with radioactive iodine and gives us the ability to follow a marker in the blood, thyroglobulin. For very small tumors, observation alone is an option.
Dr. Uma Swamy
Radiation Oncology 16 years experience
Generally Yes.: Here is good patient resource online: http://www.Cancer.Net/cancer-types/thyroid-cancer.
Dr. David Jakubowicz
ENT and Head and Neck Surgery 22 years experience
Size matters: Depending on size and charevteristics most would recommend a total thyroid and possible radioactive iodine. Speak to your surgeon and endocrinologist.

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Is colon cancer associated with irritable bowel syndrome?

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A 19-year-old female asked:

I have puss on tonceles and large bumps on back of tongue and throat but don't hurt. Do u know what could be wrong?

2 doctor answers6 doctors weighed in
Dr. Vance Harris
Family Medicine 37 years experience
Probably normal: If you do not have pain and no fever then this may be normal. All of our tongues have bumps on the back of them and just maybe you never noticed them. The tonsils can collect debris and dead cells that slough off and these can collect as small white plugs in the tonsil itself. If there is no pain it is unlikely that you have an infection.
A 45-year-old female asked:

I am 45 with 3 failed ivfs, 5 yrs ago. Benign ovar. Cyst removed then. Last period jul 10. Hcg 464 (20 dpo) & 843 (22.5 dpo) mild cramp, no bleed, ache 1 side. Ectopic, cancer, menopause?

1 doctor answer2 doctors weighed in
Dr. Adam Newman
Obstetrics and Gynecology 29 years experience
Seems ok: Is DPO days post ovulation? If so, your HCG roughly doubled in 48 hours...That is a good textbook rise! a mild cramp is common, and no bleeding is always good. Seems to me you are pregnant! no indication of ectopic, no reason to think cancer (hcg producing cancers are typically seen in much younger women ie teens and 20's) and menopause doesn't give you rising hcg. So for now, congrats and luck!

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Last updated Apr 13, 2014
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