Greece
A 28-year-old male asked:
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 • 4 doctors weighed in
Dr. Giuseppe Barbesinoanswered
Internal Medicine 35 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
Dr. Alan Feldmananswered
43 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
Dr. Frederick Singeranswered
Endocrinology 60 years experience
Radioactive iodine: If hyperthyroidism has recurred you could have surgery but radioactive iodine is an easier type of therapy.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
Last updated May 12, 2015
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $44!
50% off with $15/month membership
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.