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Doctor insights on: History Of Thyroidectomy

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With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

With history of graves disease, and now TSH 7 and multinodular goiter, likelyhood of cancer?

Increased likelihood: Yes, likelihood of thyroid CA is increased with chronic thyroid disease like yours. It does not mean though that you already have or definitively will have CA, but you MAY develop it. You must be monitored to have a chance to catch CA early. At this time the only advise I give is to be consistent with your treatments and follow ups as it is recommended by your treating MD. ...Read more

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Dr. Brendan Stack Jr.
370 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...Read more


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After total thyroidectomy with a small papillary carcinoma and no lymph involvement, what is recommended TSH level? Fam history of bone cancer

After total thyroidectomy with a small papillary carcinoma and no lymph involvement, what is recommended TSH level?  Fam history of bone cancer

low normal: With a history of thyroid cancer, we usually want to see the TSH in the low normal or mildly suppressed range (0.2 to 1.0). The family history of bone cancer is unrelated. ...Read more

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Is there a connection between those who have papillary thyroid cancer (total thyroidectomy) infertility issues, and early onset of perimenopause ?

Is there a connection between those who have papillary thyroid cancer (total thyroidectomy) infertility issues, and early onset of perimenopause ?

Apples oranges : Unrelated diseases, after total thyroidectomy if thyroid hormone is replaced adequately will not effect fertility , or give early on set of peri- menopause, if any radiation was given to pelvis will result those two problems. ...Read more

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Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?

Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more

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Should a partial thyroidectomy end the unwanted symptoms of thyroid issues?0

Not necessarily: If your hemithyroidectomy was done to remove a thyroid nodule, the other side will still need to be monitored by an endocrinologist, particularly if it also contains nodules. Thyroid function will likely also be followed. ...Read more

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What are the risks/ benefits of thyroid removal for a patient who has hashimoto's with 3 benign nodules and indicators of hashimoto's encephalopathy?

What are the risks/ benefits of thyroid removal for a patient who has hashimoto's with 3 benign nodules and indicators of hashimoto's encephalopathy?

A brief answer: You should see your endocrinologist for both conditions. Steroid is usually the first line treatment for this type of encephalopathy. Thyroidectomy eliminates risk of thyroid cancer that can arise from hashimoto thyroiditis. Risks of thyroid surgery are hoarseness, hypoparathyroidism, anesthetic risk and a scar on lower neck. ...Read more

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Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?

Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?

Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more

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Signs of calcium lost after thyroid surgery?

Signs of calcium lost after thyroid surgery?

Low calcium: Typical symptoms might include a numb or tingly feeling around the mouth or in the hands and feet, or muscle cramps. In severe cases carpal spasm can develop - see the picture here: http://www.Nejm.Org/doi/full/10.1056/nejmicm074227. ...Read more

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Can my diagnosis of thyroid nodule have any bearing on diagnosis of hyperparathryoidism?

Can my diagnosis of thyroid nodule have any bearing on diagnosis of hyperparathryoidism?

Nope: Most likely an incidental finding. Have you had a parathyroid sestaMIBI scan? This would be a more sensitive and specific study to evaluate for hyper functioning parathyroid gland. ...Read more

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I had a partial thyroidectomy and the radioactive iodine treatment for the other side due to goiter-nodule with small cancer. Synthroid (thyroxine) reduced-why?

I had a partial thyroidectomy and the radioactive iodine treatment for the other side due to goiter-nodule with small cancer. Synthroid (thyroxine) reduced-why?

For RAI to Work: The overall treatment is a little confusing as cancer is usually surgically removed, but there are a few reasons to lower your Synthroid (thyroxine). It may be held for a while so your left over thyroid tries to work and will suck up the RAI. The other reason is when the thyroid cells die they will release thyroid hormone. This could temp make you hyperthyroid. Eventually your dose will be adjusted again. ...Read more

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Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? history of cancer- can't i just get it removed prophylacticly?

Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? history of cancer- can't i just get it removed prophylacticly?

Why?: Unless it represents a danger like cancer, or is a severe physical or cosmetic problem, why remove an organ "prophylactically"/ if that were true, why not also "prophylactically" remove your nose, breasts, external ears, toes, one kidney......And all the other parts of your body you don't really need that could potentially cause trouble in the future? ...Read more

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1.5 cm thyroid Nodule diagnosed by FNA as indeterminate. having 2nd FNA in 4 wks for some kind of genetics testing. cysts & another nodule. Cancer?

1.5 cm thyroid Nodule diagnosed by FNA as indeterminate. having 2nd FNA in 4 wks for some kind of genetics testing. cysts & another nodule. Cancer?

Maybe: Glad you are getting it repeated. Usually these are slow growers and if you comply with instructions when you get your results, you will probably be okay. ...Read more

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What are the risks of smoking without a thyroid?

What are the risks of smoking without a thyroid?

All the usual risks: All the same risks of smoking with a thyroid, many cancers, heart disease, copd, etc. If you have grave's disease (hyperthyroidism) or if you ever had graves disease, smoking exacerbates the eye disease (ophthalmopathy) that can occur. ...Read more

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Symptoms of having a goiter?

Goiter: Goiter is referred to enlarged thyroid gland. Visible enlargement may be the only symptom of it. Depending on the nature of the problem, there will be various symptoms present. Benign goiters may have minimal symptoms if small, while malignant or large benign ones may interfere with swallowing and / or breathing to name a few. ...Read more

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What are the symptoms of thyroid cancer ?

None early on...: Thyroid cancer typically doesn't cause any signs or symptoms early in the disease. As thyroid cancers grow, they may cause a number of symptoms including: a lump that can be felt through the skin in the neck, changes in a person's voice (including increasing hoarseness), difficulty swallowing, pain in the neck / throat, and possibly enlarged lymph nodes in the neck. Hope that this helps. ...Read more

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