Conversation: The conversation between human and AI assistant.
[|Human|] hallo ihave histroy of metastic papilary ca with three operation,initial thyrodectomy followed by twice lyphnode dissectionand had two times nucleamedicine abletion.now recurrent lymphadenopathy in the right side 6months back my thyroglobulin level was0.0204[ refernce range1.4- 78ng/ml] i did this blood test in india resently did the same blood test in muscat that result came1.07ug/ml[refernce range <0.1ug/ml]now a days iam getting pain and swelling in the right side of the neck and that lead to my shoulder and backiam taking elctroxin 150mcg please advice me .what i want to do ?
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your pain is mostly due to fibrosis seen after thyroid surgery. Thyroid surgery once healed, produce fibrosis in neck. And this can give pain in neck.  So take painkiller for this. Swelling in the neck is mostly due to lymphatic spread of papillary thyroid cancer. So better to get done CT neck to rule out metastatic involvement of lymph nodes. If they are metastatic then you may need further chemotherapy and radiotherapy. So better to consult oncologist and discuss all these.