Doctor insights on:
Inflamed Thyroid Treatment
Nodule: If you have a complex thyroid nodule that meets certain criteria a thyroid nodule biopsy under ultrasound could be preformed. It is a simple procedure done with local anesthetic. Most thyroid modules are overwhelmingly benign. If positive additional studies and likely removal of that lone of the thyroid. ...Read moreSee 1 more doctor answer
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
Is it necessary to treat mild subclinical hyperthyroid (negative antibody, normal t3/t4 TSH 0.461) before having a lobectomy for follicular nodule?
Normal: A TSH of 0.46 is normal is most labs. It appears that you are going to surgery for a "follicular nodule". You should be aware that there is a newer pathology test(afirma by veracyte) that helps to differentiate which patients with follicular neoplasms need to go to surgery vs observation. You might want to consider this before surgery. ...Read more
Detected with hashimotos hypothyroidism ,TSH4.67.Doc see small nodules.Is Levothyroxine treatment enough? or need further evaluation/therapy?Any Risks
Evaluate nodules: I recommend that the "nodules" be evaluated by real-time ultrasonography performed by a thyroid specialist skilled in risk-stratification of nodules based on current American Thyroid Association guidelines. A fine-needle aspiration biopsy is recommended for any that would be regarded as suspicious. ...Read more
Several options: The treatments come down to antithyroid drugs (eg. Methimazole), radioactive iodine (rai), or surgery. Each has advantages and disadvantages, and you should discuss with your endocrinologist. If you opt for surgery, make sure the surgeon is an experienced thyroid surgeon. ...Read moreSee 1 more doctor answer
Have graves disease with graves ophthalmology(bulging eyes).Need to stop thyroid. Which is better radioactive iodine or surgical removal?
Depends: Depends on specific thyroid condition.Get a more detailed answer ›
Can autoimmune disorders cause permanent swollen/enlarged cervical lymph nodes? I have hashimotos of the thyroid
Big thyroid: From your description, it appears that the underlying problem is Hashimotos, and you have already had ultrasound and biopsy of nodules. Therefore, no suspicion of cancer. You should be on adequate thyroxine to keep TSH normal. In time, your thyroid will probably shrink some. The only reason for surgery is if the gland is so big that it interferes with breathing/swallowing. ...Read more
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
Not likely: Most likely two issues here but you do need to give more detail ...Read more
Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read moreSee 1 more doctor answer
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