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Doctor insights on: Hemi Thyroidectomy

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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

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

Need Blood Test/ultr: You need a ultrasound and tsh, freet4, T3 (liothyronine) levels and you may or may not need a boipsy of the left lobe of thyroid to find the proper treatment consult your endocrinologist if you have not done so. ...Read more

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Dr. William Culviner
353 doctors shared insights

Thyroidectomy (Definition)

This is the removal of all or part of the thyroid gland. It is generally performed for rumors of the gland, occasionally for enlarged and hyper functioning glands that do ...Read more


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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

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Please help! what is the treatment of choice for papillary carcinoma thyroid discovered in a hemi thyroidectomy specimen?

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 more

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If I have a hemi thyroidectomy for nontoxic multinodular goiter, the other lobe that is already mild enlarged will grow faster and forms nodules?

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

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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?

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 more

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Is it normal to feel dizzy and weak 4 days after hemi-thyroidectomy? When do I get concerned about hormone replacement?

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

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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?

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

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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?

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