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Doctor insights on: How Accurate Are Thyroid Biopsies In Hashimoto Patients

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What are the tests for hashimoto's thyroiditis?

What are the tests for hashimoto's thyroiditis?

Several: To test for hypothyroidism, regardless of cause, the best test is a TSH level to determine if the pituitary is making high levels of TSH (thyroid stimulating hormone) to try to get the thyroid to make more thyroid hormone. Sometimes a thyroid hormone level is done as well. An antibody test (tpo antibody) can show if there are antibodies attacking the thyroid, as seen in hashimoto's thyroiditis. ...Read more

Dr. Eric Weisman
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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TSI bloodwork test or Thyroid Uptake test with the radioisotopes? Benefits/risks, pros/cons? Are they interchangeable as diagnostic tool for graves?

TSI bloodwork test or Thyroid Uptake test with the radioisotopes? Benefits/risks, pros/cons? Are they interchangeable as diagnostic tool for graves?

Thyroid: The first thing you must do is have your doctor order the thyroid labs once he/she has taken a full history and physical exam. The first thing would be to order the thyroid labs and if they are abnormal the radiology program will look for problems in your thyroid. Do not get too concerned for now - all may be OK. If not appropriate care will be given after discussion with you. Keep me posted! ...Read more

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How are thyroglobin and tpo antibody tests related to hashimoto's disease and pregnancy?

How are thyroglobin and tpo antibody tests related to hashimoto's disease and pregnancy?

Complex.: Pregnancy will raise thyroglobulin values, necessitating an increase in total thyroid production. If hashimoto's is present, thyroid function must be assessed by free T3 (liothyronine) values and TSH during pregnancy to avoid low thyroid. Many women will develop a goiter during pregnancy, but this is physiologic. But it is imperative to constantly moniter thyroid function of the mother, or the fetus can be hurt. ...Read more

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What are the tests for thyroid nodules?

What are the tests for thyroid nodules?

TSH ultrasound: Tsh (blood test) to check thyroid function, ultrasound to characterise the nodule (how many, size, solid vs. Cyst, suspicion for malignancy), fine needle aspiration (fna) for suspicious nodules. ...Read more

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What is the difference between hashimoto thyroid and thyroiditis? Are they autoimmune diseases?

What is the difference between hashimoto thyroid and thyroiditis? Are they autoimmune diseases?

Often same: 'thyroiditis' is an inflammatory process of the thyroid gland. Can be caused by virus, usually responds to anti-inflammatory medication and is self-limited. Hashimoto's thyroiditis similar, but is an autoimmune disorder where the antibodies attack the thyroid tissue, as though it was foreign. Over or underactive function could occur, but often becomes chronic and may need thyroid rx for life. ...Read more

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How do doctors know if thyroid cells(cancerous and non) take up the radioactive iodine after rai treatment for papillary thyroid cancer?

How do doctors know if thyroid cells(cancerous and non) take up the radioactive iodine after rai treatment for papillary thyroid cancer?

Nuclear medicine: Nuclear medicine scans will show where the radioactivity is concentrated, which is almost always in these cases in the thyroid glands and in any metastatic lesions of thyroid cancer. ...Read more

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What are some of the tests for Hashimoto's thyroiditis?

THYROIDITIS: n this condition, typically there is aggressive destruction of thyroid cells by various cell- and antibody-mediated immune processes (in contrast to the stimulatory effect seen in Graves' disease). It is not yet understood why this occurs.TSH levels; this is a sensitive test of thyroid function.Thyroid autoantibodies - anti-thyroid peroxidase (anti-TPO) .http://patient.info/doctor/hashimotos-thyroiditis ...Read more

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What percentage of radio active thyroid iodine patients lose all thyroid function?

What percentage of radio active thyroid iodine patients lose all thyroid function?

Depends on dose: For graves disease, typical doses of rai are 5-25 mci. The dose depends on your uptake and size of gland. Some doctors give low doses to try to make your thyroid normal. But this usually does not work. Either the low dose leaves you still hyperthyroid, or it makes you hypo, just like a higher dose. For this reason, many just give a high-ish dose so you become hypo quickly and go on synthroid (thyroxine). ...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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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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Why some patients who have medical conditions eg. Diabetes, malignancy, when they do tuberculin skin test the result shows > 10mm induration positive?

Why some patients who have medical conditions eg. Diabetes, malignancy, when they do tuberculin skin test the result shows > 10mm induration positive?

Positive PPD: Positive PPD means prior exposure to mycobacterium tuberculosis. It is sort of a screening test. Patients with a weakened immune system such as cancer patients, diabetics are more prone to getting TB if they have the exposure but without the active disease, they will not be PPD positive. Pts who get vaccinated with bcg vaccine, prior exposure, organ transplants, hiv, steroid therapy cn make test+. ...Read more

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What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?

What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?

Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more

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Detected Hashimoto's Thyroiditis, possible cysts, Antibodies are at 197, doc says thyroid is it working but barely, but all other levels are normal?

Detected Hashimoto's Thyroiditis, possible cysts, Antibodies are at 197, doc says thyroid is it working but barely, but all other levels are normal?

Not the right test: You need to get the thyroid level measured to find out if the level is appropriate and a TSH level to find out how the body is assessing the situation. The antibody level points to the cause but not the function. ...Read more

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Are kidney/liver function normally measured, in ''standard classic'' regular blood tests made in persons under 18 years old? Pleeease say yes.

Are kidney/liver function normally measured, in ''standard classic'' regular blood tests made in persons under 18 years old? Pleeease say yes.

Unsure: Every doctor has what they consider "standard" blood tests in teens. While almost all of us would agree on lab test like cbc, tests that would check kidney and liver function are not as commonly done unless there are specific complaints or findings on physical exam that would indicate need for these. If you had blood work done, just ask - "what tests did I have done and what do the results mean". ...Read more

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New bloodwork shows T3, (liothyronine) T4 completely in normal range. TSH not evaluated. What are chances Graves' disease in remish? Must TSH be tested to know?

New bloodwork shows T3, (liothyronine) T4 completely in normal range. TSH not evaluated. What are  chances Graves' disease  in remish? Must TSH be tested to know?

Graves remission: Presumably you have Graves and have been treated with methimazole/PTU and now levels are normal, and you feel well. This may last for months/years, but usually hyperthyroidism reoccurs, or you become hypothyroid (gland burn out). A reocurrance of hyper is more likely if the Graves was initially severe (big gland, very high FT4 or T3, (liothyronine) high TSI, etc). Work with your Endocrinologist. ...Read more

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What can be cause of solitary nodule in hashimoto thyroiditis patient?

Hashimoto's nodule: Hashimotos thyroiditis involves inflammation of the thyroid. Often there can be patches of inflammation, and inflammation then leads to scarring (fibrosis). This scarring creates the appearance of nodules. The likelihood of cancer in these nodules is very low, and frequently these "nodules" do not require biopsy. ...Read more

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I am a symptomatic euthyroid hashimoto's patient. What can I do to lessen symptoms since I do not receive thyroid medicine?

Treatment: The TSH goal in a confirmed hashimoto's patient is different than a normal person. In hashimoto's we would like TSH to be < 2. If your TSH is higher than this, it is ok to start treatment even though technically it is still in the normal range. Discuss this with your doctor. ...Read more

Dr. Alvin Lin Dr. Lin
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Endo has got my thyroid level to just within the correct range, what else can be done for a hashimotos patient that still has all the symptoms?

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
Endo has got my thyroid level to just within the correct range, what else can be done for a hashimotos patient that still has all the symptoms?

Desiccated thyroid: Check out http://jcem.Endojournals.Org/content/98/5/1982.Abstract in which a recent study suggested that some patients feel better on dessicated thyroid extract. This may be heresy so point out study to your doc. It doesn't mean you have to stay on it forever but it might be worth a try. One other issue: which end of normal did you just reach? Many feel better when TSH 1-2 (not 4.49). ...Read more

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Endo has got my thyroid level to just within the correct range, what else can be done for a hashimotos patient that still has all the symptoms?

Maybe increase T4: If the TSH level is in the normal range but closer to the upper limit (2.5 - 5), it may be reasonable to increase the dose of T4 to bring down TSH level to the lower half of the normal range (0.4 - 2.5). This is based on the observation that most young volunteers with normal thyroid function have TSH level < 2.5. However, it is not certain that increasing the dose will improve symptoms. Good luck! ...Read more

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Thyroid nodule grew from 1.2 to 1.7 since last ultrasound in april. Had biopsy today, freaking out! I was diagnosed with hashimotos worried cancer?

Thyroid nodule grew from 1.2 to 1.7 since last ultrasound in april. Had biopsy today, freaking out! I was diagnosed with hashimotos worried cancer?

Hashimoto's: Most people with Hashimoto's never develop thyroid cancer. If your doctor is concerned you may consider having that lobe removed, partial thyroidectomy. Speak with your ENT. ...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?

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

Dr. Al Hegab Dr. Hegab
3 doctors agreed:
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How does mdma affect hashimoto thyroidism ?

Dr. Al Hegab Dr. Hegab
3 doctors agreed:
How does mdma affect hashimoto thyroidism ?

?: No established direct effect, but such deleterious drug isn't expected to be of any benefit in any condition, including psychiatric illness claimed by some to be of value, do yourself, or the person you're asking on his/her behalf, a favor, and get treated right in a detox program, good luck ...Read more

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Hashimoto thyroidism, HGH bld pressure vitamin d sufficient, excess weight gain, feel tired all the time, would amphetamine boost my energy?

Hashimoto thyroidism, HGH bld pressure vitamin d sufficient, excess weight gain, feel tired all the time, would amphetamine boost my energy?

Yes, but: It would be potentially dangerous and possibly illegal depending upon the source of the amphetamines. Why put something in your body that is harmful and can potentially kill you? Also get off the armour thyroid, which is ground up pig tissue and have your doctor put you on brand name T4 replacement, which is better and safer. ...Read more

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Anyone know anything about hashimoto's thyroidism symptoms?

Anyone know anything about hashimoto's thyroidism symptoms?

Hashimoto's symptoms: Some common symptoms are: fatigue, hair loss, hoarse voice, slower speech, depressed, brittle nails, dry skin, feeling cold, constipation, weight gain... ...Read more

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I have hashimoto thyroidism, pituitary tumor, seizures, lesion on my brain and had multiple concussions. My calves are hurting bad what could this be?

I have hashimoto thyroidism, pituitary tumor, seizures, lesion on my brain and had multiple concussions. My calves are hurting bad what could this be?

Wow- a lot!: This can either be as simple as muscular if you have had any changes in excercise or even trauma (fall, seizure). Or it can be neurological, neuropathic pain due to your comorbidities or even the brain lesion. Or vascular such as a DVT or blood clot in your veins. I would recommend that you get evaluated at your earliest convenience. ...Read more

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Could anxiety and memory loss be caused by hashimoto' s thyrodism?

Could anxiety and memory loss be caused by hashimoto' s thyrodism?

Hypothyroid: Low thyroid function can cause both emotional and cognitive issues, and indeed, doctors often consider low thyroid function in explaining memory loss in a new patient. The situation should stabilize once you have thyroid functions under control. ...Read more

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Can P.O.T.S. Be a 'side effect' of Thyroid issues such as hashimoto? Would treatment be the same? Modified lifestyle and meds? Of diff cause diff fix?

Can P.O.T.S. Be a 'side effect' of Thyroid issues such as hashimoto? Would treatment be the same? Modified lifestyle and meds? Of diff cause diff fix?

Many issues: You offer so many unrelated issues (not your fault) but your doctor(s) don't seem to care. Ask around your friends who might have better doctors to look after you. Please keep me posted. ...Read more

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What is the solution for hashimotos thyroid disease?

What is the solution for hashimotos thyroid disease?

No cure: There is no treatment to stop or cure hashimoto's thyroiditis, but fortunately, we can replace the thyroid hormone if patients become hypothyroid. Close monitoring is needed. ...Read more

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Can a hashimoto thyroid goiter be shrunk with diet?

No effect of diet: Unfortunately, it is an autoimmune disease, controlled by antibodies to the thyroid, and diet will not help. If you are hypothyroid, you may benefit from levothyroxine. But it is hard to get that inflamed thyroid to shrink. ...Read more

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Is amour thyroid good for hashimoto & do I sill use eltroxin as well?

Is amour thyroid good for hashimoto & do I sill use eltroxin as well?

Should not need both: Armour-thyroid is thyroid extract (desiccated thyroid glands of pork/beef containing all the thyroid hormones) and eltroxin (levothyroxine) is a synthetic active thyroid hormone/substance. Hashimoto initially causes hyper but eventually turns hypo and will need replacement. One diagnosed as hypo, docs commonly prescribe levothyroxine, or armour in some cases, but not both. Consult doc. Good luck. ...Read more

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What can be cause of solitary nodule in hashimoto thyroiditis patient?

Hashimoto's nodule: Hashimotos thyroiditis involves inflammation of the thyroid. Often there can be patches of inflammation, and inflammation then leads to scarring (fibrosis). This scarring creates the appearance of nodules. The likelihood of cancer in these nodules is very low, and frequently these "nodules" do not require biopsy. ...Read more

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Could having hashimoto's disease cause a person's thyroid gland to shrink in size?

Yes, but often enlar: The autoimmune process in hashimoto's thyroiditis can cause shrinking, but often involves enlargement of the thyroid gland, especially in the early phase of the disorder. You should see an endocrinologist for any change in thyroid size. ...Read more

Dr. Gerald Mandell
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more