Thyroid Lesion – DrDEEPAN P. SHAH cured 17mm*12mm*13mm hypoechoec lesion in thyriod glands with internal vascularity

Thyroid lesion

DrShah cured 17mm*12mm*13 mm hypoechoec lesion with internal vascularity Presenting complaints pain deglutition , malaise , recurring pharyngitis , mild visible swelling in cervical region and lateral cervical lymph node enlargement, trembling of limbs , frequent cramps , loss of appetite , wt loss, anxiety, insomnia with somnolence in daytime.USG thyroid showed this vascular noduleTFT showed elevated TSH

Most of the homoeopaths would have thought here of constitutional treatment based on totality of symptoms but I prefered pathological prescribing based on the organ involved, to start with and then if required constitutional.I avoided FNAC as the tumours in glands are usually encapsulated and if this capsule integrity is breached in anyways or physically intervened it may facilitate malignant cells to escape and form new vegetations (metastasis).

Medicines I used were THYROIDINUM 3X and IODIUM 30 given TDS for period of 1 weekfollow up:Pt showed improvement in all other symptoms except for aggravation in trembling malaise and sleep disturbances which i attribute to thyroidinum 3xI stopped thyroidinum 3x as it had delivered expected homoeopathic aggravation continued iodium 30After 15 days pt showed improvement in all his symptoms ,patient was kept on placebo thenAfter approx 3 mnths, USG and TFT were repeated and pt showed complete resolution of the vascular nodule but his TSH levels were still elevated with mild increase in the gland size which again I attribute it to the homoeopathic medicines administered and will resolve soon, Pt is under observation for that and will be for few months or year and treated accordingly.

NOTE:

Echogenicity:-When the lesion is hypoechoiec the chances of cancer are higher it typically appears solid and hypoechoic when compared with normal thyroid parenchyma. When a thyroid nodule is markedly hypoechoic, with a darker appearance than that of the infrahyoid or strap muscles of the neck(termed as marked hypogenicity), the specificity for detection of malignancy is increased to 94 per cent. Marked hypoechogenicity is very suggestive of malignancy(cancer). No hypoechoeic halois visualised in periphery, also its taller than wider in dimension.Vascularity:-Marked vascularity within the nodule(marked intrinsic vascularity) again add up to the probability of malignancy (cancer).

Lymph nodes:-Enlarged lateral cervical lymph nodes again add up to the probability of malignancy (cancer).

TFT:-Elevated TSH shows its not a hot nodule. Again a cold nodule has increased probality of malignancy (cancer).

 BEFORE

Note the Size and Vasuclarity in Hypoechoeic Lesion

   AFTER

Note No Lesion Found

AFTER

Note LESION CURED