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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35741
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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My husband went to the doctor tonight for a regular check up

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My husband went to the doctor tonight for a regular check up with a new dr. He was told that he has a swollen thyroid. This showed up about 5 years ago when he lost over 100 pounds. We were always told that it is a large adam's apple. Is this something that we need to be concerned about. Two other doctors have noticed it and commented on it, but they didn't think it was anything to worry about. Now this doctor tonight suggested ultrasounds and biopsies?? It just isn't seeming right.

Hello Naomi ,
I am Dr. Arun and will be helping you today.

This is not likely to be concerning but as the doctor mentioned, it certainly warrant investigations as following;

1) Thyroid function tests (T3, T4, TSH)
2) Thyroid scan
3) CT scan or neck
4) Ultrasound

The biopsy is only required if the above investigations suggest something suspicious of cancer. Thyroid cancer is not common in males. The biopsy usually is a needle biopsy which is called as ABC (aspiration biopsy cytology). ABC is does not require admission and is done at doctor's office.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

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Customer: replied 4 years ago.

Is this something that would be considered a reason to keep us from becoming foster to adopt parents?? That is why we went in, and this is what we came out with.


No, this does not prevent to adopt and be foster parents. So you can go ahead to adopt the child / children. Actually there is not likely to be anything highly concerning. His diagnosis is most likely to multi nodular goiter (benign / non cancerous condition). Though as discussed it should be further investigated, just for the precaution.

It is privilege assisting you.

Dr. Arun

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