A 28-year-old male asked:
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i surgically removed thyroid 4 years ago due to grave's disease. now tsh started to drop so i found that i have a pyramidal lobe 3cm. surgery again?

3 doctor answers
Dr. Giuseppe Barbesino
32 years experience Internal Medicine
Maybe radioiodine?: A low TSH after thyroidectomy for graves' may indicate (if pt is not taking thyroid hormone) that residual thyroid tissue is present and that hyperthyroidism may return as the remnant tissue grows back. A well done iodine thyroid scan (with extension to upper and lower parts of the neck) can help clarifying. In such cases surgery is an option, as well as radioiodine, or watching if hyper is mild.
Answered on Jun 10, 2014
Dr. Alan Feldman
40 years experience Endocrinology
Other options: Graves disease is most commonly treated by giving radioactive iodine (especially in the us). Surgical removal is very uncommon in the us, but more common in europe and asia. If you have had regrowth of your thyroid causing hyperthyroidism again, it makes more sense to me to receive radioactive iodine rather than attempting surgical removal again.
Answered on Feb 27, 2014
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Dr. Frederick Singer
57 years experience Endocrinology
Radioactive iodine: If hyperthyroidism has recurred you could have surgery but radioactive iodine is an easier type of therapy.
Answered on May 12, 2015
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