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Carolyn Dias-Karch, 34, of Boynton Beach, helps recovering patients get back to independent, fully functioning lives as a physical therapist at Cornell Institute for Rehabilitation Medicine at Bethesda Hospital East. Recently, on an otherwise normal workday, a colleague noticed a mass on Carolyn's neck. Recalls Carolyn: "I had a case manager walk into the room with me and a patient and we started talking, and she kindly took me aside and just said, 'Hey, you have something on your neck. You have a mass. I don't want to freak you out or anything.' But it was big enough for her to notice that I needed to get it checked out." She didn't have to go far to get expert advice on what turned out to be a challenging diagnosis by surgeons at Bethesda Hospital East. What initially looked like a growth in her thyroid gland was actually much more complex and serious -- a very rare and aggressive tumor.