Doctor insights on:
Elevated Thyroglobulin Post Thyroidectomy
Is it possible recurrence of thyroid cancer if thyroglobulin came back positive but antibodies are decreasing? Had full thyroidectomy 2 years ago.
Recurrence: Rest assured. It is impossible to say you are cancer free, but that is likely. Here's why: the thyroglobulin level is unreliable because you have antibodies. The fact that the antibodies are decreasing can mean that thyroglobulin is decreasing. Antibodies can be a tumor marker surrogate. Continue to follow the antibody trend and get periodic neck ultrasounds. ...Read moreSee 1 more doctor answer
I recently had a thyroidectomy, and now have a thyroglobulin level of 0.2. My doctor gave me the choice of doing rai treatments or not. I need advice?
Depends on the stage: Of thyroid cancer and chance of recurrence. If you have a low stage and risk of recurrence, rai is frequently more harmful than beneficial. However, if you had a large tumor, aggressive variant, or metastasis then rai would likely be a good idea. It would also be important to know if it was a stimulated level. ...Read moreSee 1 more doctor answer
Thyroidectomy & thyroglobulin levels i had my right thyroid gland removed in april 2011 and then when they did the biopsy, it showed cancer cells so they had to remove my left thyroid gland the following week. I had rai in july 2011. I had my 6 month foll
Persistent: Thyroglobulin levels may remain elevated after a total thyroidectomy and rai due to persistent tumor cells in neck lymph nodes, distant metastasis, or residual thyroid tissue remaining from the time of surgery. Some additional tests, like a neck ultrasound and/or a thyroid metastasis scan can be helpful in obtaining an answer. ...Read moreSee 1 more doctor answer
Positive for thyroid paroxidase antibodies and thyroglobulin antibodies. What does this mean? Had pap thyroid cancer in 2008 with thyroidectomy
Immunity to thyroid: The thyroid makes thyroglobulin (tg) and thyroid peroxidase (tpo). Even though you had your thyroid removed, your body's immune system sees tg and tpo as foreign and has made antibodies to them. This means that following your tg as a way to monitor your thyroid cancer might be unreliable. It could also mean you have thyroid tissue that is still present in your body. Ask your endocrinologist! ...Read more
I had a total thyroidectomy with pathology of hyalinizing trabecular tumor. But I have thyroglobulin antibodies how come? Also can't get TSH down
Hypothyroidism: The thyroid condition you have is rare and is considered by many a variant of papillary carcinoma which commonly arises in chronic thyroiditis as indicated by your elevated thyroglobulin antibodies. The destruction of normal thyroid cells from chronic inflammation or complete surgical removal leads to hypothyroidism reflected by elevated tsh. See your endocrinologist for treatment. ...Read more
My pathology for my total thyroidectomy was benign my TSH keeps going up and I have a thyroiglobulin of 29.8. This was the first time checked. Cancer?
Thyroidectomy: Much depends on the timing of your surgery, replacement hormones, and what the diagnosis was. Benign is not specific enough, as there was a reason for you to have surgery. If a multinodular goiter or hashimoto thyroiditis, there may be residual thyroid in the neck, and this is growing in response to increased tsh, not suspicious for carcinoma. Follow up with your endocrinologist. ...Read moreSee 1 more doctor answer
6 montes after thyroidectomy and rai, thyroglobuline <0.1 ng/ml and antithyroglobuline antibodies are 47.8 iu/ml. No TSH elevation. Is this good, bad?
Okay: I assume that you had thyroid cancer. If this is the case, you want to be on enough thyroid hormone so that the TSH is in the lower range of normal or slightly low (0.2-1.0). Unfortunately, having thyroglobulin antibodies makes the thyroglobulin level unreliable as an indicator or residual thyroid tissue. ...Read moreSee 1 more doctor answer
3 weeks post total thyroidectomy and metanephrine study was mildly elevated. Is this anthing to be worried about?
norepinephrine elev: Stress induces elevation of all catecholamines and could have contributed seeing u just had thyroid resection my impression is your physcian is evaluating for men but this should only be suspected with medullary cancer of thyroid again mild elevations not significant generally. ...Read more
I had a total thyroidectomy and after 10yrs my thyroid antibioties came back elevated. My tg was unmeasurable. Is this something I should be concerned?
Probably not: Did you have thyroid cancer or just a goiter 10 years ago? If no cancer, then there is nothing to worry about. You probably had positive antibodies 10 years ago as well. If you did have thyroid cancer 10 years ago and the antibodies were negative and now positive, then it's time for an evaluation. ...Read moreSee 1 more doctor answer
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