Homoeopathy in the Management of Suspected Case of Papillary Thyroid Carcinoma - A Case Report

Abstract

Papillary thyroid carcinoma is an epithelial malignancy showing follicular cell differentiation and distinctive nuclear features. It is the predominant form of thyroid cancer, accounting for 80 to 85% of all thyroid cancer cases. The tumor appears as an irregular solid mass, about 10% as metastatic disease at initial presentation. A lobectomy is an option for unifocal tumors smaller than 4cm with no evidence of extrathyroidal extension. A 21-year-old female, consulted in Endocrinology OPD of NHRIMH, Kottayam on 4 February 2020 with weakness of body, hairfall, hypopigmented patches on skin, headache on forehead while travelling and eye straining, ameliorated by vomiting. She had Thyroiditis with a solitary hypoechoic nodule  mm) in left lobe of thyroid gland, TBSRTC Category V and Suspicious for Papillary carcinoma as per the investigation on 25 July 2019. Elevated Serum ATG (575 IU/ml), ATPO (44.5 IU/ml). After thorough case-taking, homoeopathic treatment with Phosphorus 30, Calc Phos 200, 1M and Thyroidinum 1M led to remarkable improvement assessed using Modified Naranjo Criteria. With 27 months of individualized Homoeopathic treatment, No definite focal lesions noted and both lobes showed only features of Thyroiditis as per the investigation on 22 May 2023.