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Our Services Thyroid Clinic

Our services are organized into multiple clinics, each of which focuses on a different aspect of endocrine health.

We offer comprehensive testing to determine the type and severity of thyroid disorders, and provide the latest, most effective treatment options posssible. Our tests and services include:

Real time thyroid Ultrasonography

We perform on site real time thyroid ultrasonography, which provides dynamic images projected on wall mounted TV screen visualized by the patient.

Dynamic ultrasound images are superior to differentiate thyroid nodules from pseudonodules (false nodules) as compared to the static images captured by ultrasound technicians in radiology clinics.

We have earned special certification “Endocrine Certification in Neck Ultrasound” “ECNU” by American Association of Clinical Endocrinologist “AACE”.

Ultrasound guided FNAC of thyroid nodules

We perform ultrasound guided fine needle aspiration cytology for thyroid nodules, abnormal neck lymph nodes. We also perform PTH aspiration of suspected parathyroid adenoma or thyroglobulin aspiration of metastatic thyroid nodule. Our physicians together have performed more than 10000 procedures.

Genetic Testing on FNAC material of thyroid nodules

We provide genetic testing on FNAC material to differentiate indeterminate thyroid nodules into benign or malignant. This procedure avoids unnecessary surgery in case of a benign nodule, whereas in case of a malignant nodule it helps to determine the extent of surgery prior to original surgical procedure.

Radio Iodine I-123 scan and I-131 treatment

We review radioiodine I-123 scans, correlate the scans with thyroid ultrasound films, calculate radio iodine I-131 dose. We are one of very few endocrine practices in the state of Pennsylvania who administer I-131 treatment by the endocrinologist for treatment of hyperthyroidism and thyroid cancer.

Thyroid nodules

In our specialized thyroid clinic, endocrinologists evaluate the patients having thyroid nodules with detailed clinical history, specialized endocrine thyroid clinical neck examination complimented by real time on site thyroid ultrasound (see above real time ultrasonography) and if required I-123 uptake and scan.

Thyroid Cancer

We manage thyroid cancer patients with radio iodine I-131 treatment based upon stratified risk assessment on basis of clinical features complimented by whole body I-123 scan and thyroglobulin levels.

We perform periodic survilance of thyroid cancer patients with whole body I-123 scan, neck ultrasound and the tumor marker thyroglobulin levels.

Hypothyroidism & Hyperthyroidism

Our endocrinologists perform detailed clinical history physical examination of thyroid disorders. We differentiate various causes of hyperthyroidism (over active thyroid state) including multinodular toxic goiter, graves’ disease, thyroid adenoma, Iodine iduced hyperthyroidism and thyroiditis. We manage and treat each case on merit according to evidence based medicine and up to date guidelines.

We evaluate and treat hypothyroidism. We have wide experience with different brands and preparation of thyroid hormone replacement therapy.