Doctor insights on:
I had a hemi thyroidectomy (right side) because I had a tumor. Shouldn't I be on medication if now the left one is enlarged and overcompensating ? I
Previous hemi-thyroidectomy. Now, multiple small nodules and one 12 mm complex, peripheral vasc. Doc says come back in 1 year?
Thyroid lesions: If you are not comfortable with that assessment, seek a second opinion. It may be a wise decision to get another opinion by a board certified head and neck surgeon or endocrine surgeon. ...Read more
If I have a hemi thyroidectomy for nontoxic multinodular goiter, the other lobe that is already mild enlarged will grow faster and forms nodules?
Goiter: Yes, the other side of your thyroid may grow. If your doctor treats you with levothyroxine, it may not grow as much, but there is a risk of making you hyperthyroid. It sounds like the remaining lobe also has nodules. Presumably the removed thyroid was free of cancer; why was the surgery performed? You probably should see an endocrinologist. ...Read more
I had a hemi thyroidectomy in 2006 right side I recently had a CT of my neck for other reasons and the results came back with a heterogenous enlargement of myl left side. Should I be concerned?
Need an ultrasound: If the right side was taken out and u were not placed on thyroid replacement, it's common for the left side to overcompensate & gets a little bigger. With the ct scan above, i would get an ultrasound of the thyroid to make sure there is no nodules in the "heterogenous" left lobe. If there is, u will need to follow it or get a biopsy. I assume the right was not cancerous since the left was left in. ...Read moreSee 2 more doctor answers
Is it normal to feel dizzy and weak 4 days after hemi-thyroidectomy? When do I get concerned about hormone replacement?
Not uncommon: It is not uncommon to feel somewhat weak after any procedure that requires general anesthesia. If you had only a hemithyroidectomy, the remaining thyroid lobe should be adequate to make enough to meed the needs of your body for thyroid hormone, but it is important to have periodic blood tests to be sure that your levels are adequate. ...Read more
Please help! what is the treatment of choice for papillary carcinoma thyroid discovered in a hemi thyroidectomy specimen?
Options: Typically, if the carcinoma is 1cm or larger, then the other half of the thyroid is removed. If it is smaller than 1cm and unifocal (as opposed to multifocal), then the other side can be observed or removed. However, it really depends on multiple factors that you and your surgeon will have to discuss. ...Read moreSee 2 more doctor answers
Previous hemi-thyroidectomy follicular adenoma with small foci. Remaining lobe multinodular with one dominant at 15mm. Risk of cancer?
Low.: This situation is very common. Get it needled if there is a question. ...Read more
10 days ago had right hemi thyroidectomy now TSH supressed and free T4 and T3 (liothyronine) very low should I wait for equilibrium of thyroid or take levoxthyroxin?
Not an issue for: Self treatment. Why did you have hemi-thyroidectomy? Please consult with your doctor rather than trying to adjust the medication on your own. There may be reason to let you go into hypo-thyroid state, depending on the pathology that called for resection of the thyroid. ...Read more
Hyperthyroid 5 years with toxic nodule pre hemi thyroidectomy supressed TSH elevated T4 T3 (liothyronine) 10 days post op TSH supressed low T4 T3 (liothyronine) am i hyper or hypo?
Difficult to answer: Since you're on ptu (propylthiouracil) which inhibits thyroid function and hormone production. Would have to know when and how much ptu (propylthiouracil) you've been taking and serial lab values to determine the answer. If your TSH is still suppressed, you're probably still hyperthyroid, but more or longer therapy w/ptu (propylthiouracil) may help. Methimazole may be safer than put. Think about radio iodine therapy w/your doctor. ...Read more
Why thyroidectomy?: Hi. Was it thyroid cancer? Most likely reason for total thyroidectomy. Best diet: healthy one! Whole grains, nuts, legumes, fruits & veggies, healthy oils (canola & olive), lean meats, nonfat dairy; little or no white flour, white rice, simple sugar, high fructose corn syrup. Best of luck with your thyroid cancer! ...Read more
A routine surgery...: Will aim to remove all thyroid tissue. This is done sometimes for goiter, thyroiditis, or cancer. There is typically a single, midline neck incision that is used for removal of the organ. Afterwards you may receive radioactive iodine to kill any cells that might have been missed. You will need thyroid replacement on a daily basis after the surgery for the rest of your life. ...Read more
Normally a few days: For routine thyroid surgery, such as for graves disease or a benign nodule, surgery can be done on an outpatient basis and recovery is fairly fast. Hormone replacement begins immediately. For cancer surgery, the procedure may be more extensive and recovery may be longer. If there are complications, such as low blood calcium, or a hoarse voice, then other outpatient treatments will be needed. ...Read more
What for?: There are many reasons to have a thyroidectomy: cancer, suspicious nodules, goiter or nodule with compressive symptoms, uncontrolled hyperthyroidism, genetic syndromes with high likelihood of cancer. You should be seen by a surgeon who does a lot of thyroid procedures and have a full discussion about your reasons. If you are having trouble deciding get a second opinion. ...Read more
Thyroidectomy diet: "there are no uniform general dietary restrictions for patients who have had thyroid surgery, however your surgeon may ask you to temporarily institute a low iodine diet if you need to receive radio-iodine treatment for cancer after thyroidectomy." http://www.Utsouthwestern.Edu/utsw/cda/dept48055/files/317737.Html. ...Read more
It removes: A portion of your thyroid. You will definitely need life-long replacement with brand name T4 after the surgery. There are some risks, including potential damage to laryngeal nerve and parathyroid glands, but risks should be minimal with a good surgeon. Depends upon the indication for the surgery in the first place. ...Read moreSee 1 more doctor answer