Doctor insights on:
Pathophysiology Of Thyroid Lobectomy
Like other cancers: Like all cancers, it results from accumulated genetic mutations that cause the cells to grow inappropriately and eventually destabilize the genome. A variety of mutation groups are known. Most subtypes of papillary carcinoma of the thyroid are not especially aggressive and cures are usual. ...Read moreSee 1 more doctor answer
Could be: It is difficult to reliably sonographically differentiate hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease. A diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation. ...Read more
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
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
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
Prominent vessels in lobe of thyroid, nodule on other lobe, hypothyroid, inconclusive fna of nodule?
Remove lobe: If one lobe of the thyroid is abnormal on thyroid scan and on ultrasound, and your doctoris worried about thyroid cancer, biopsy of the abnormal lobe is indicated. If your risk is low, some physicians just remove the diseased lobe and put you on full replacement thyroid hormone for the rest of your life. ...Read more
It depends: Thyroid nodules are mostly ( 80-90%) benign . But it depends on their size and rate of change(growth in their size). A repeat Ultrasound study of your Thyroid should be done(I am sure your doctor must have advised you to do so)) in 6 to 12 months time to reassess for any growth in the nodules in your Thyroid. ...Read more
Thyroid US- heterogenous thyroid parenchyma with hypervascularity, suggestive of underlying parenchymal disease, no discrete thyroid nodule. Meaning?
Thyroiditis?: Need correlation with thyroid function tests. Why did you have the ultrasound? Your doctor is the one to put this all together for you. ...Read more
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
Biospy of thyroid report "Macrofollicular thyroid parenchyma, suggestive of nodular hyperplasia" What does this means?
Rollercoaster: Hashimoto's is a rollercoaster, with periods of high energy followed by times of extreme fatigue..increasingly tired or sluggish, anxiety, lump in your throat that you can’t swallow, hoarse voice, a tight feeling in your throat, panic attacks, insomnia, depression, unexplained weight changes, diarrhea/constipation, can't tolerate heat or cold, muscle/joint aches and pains, and more. ...Read moreSee 1 more doctor answer
In follicular adenoma of thyroid gland , after lobectomy , is ther resk for other remaining lobe to develop follicular carcenoma ?
VERY LOW: In treating thyroid tumors the lesion present should be solitary and essentially cold on thyroid scan. At that time if surgery indicated should the lesion be relatively small and confined to one lobe it is possible to save the other lobe. Ca Dx is made when the adenoma shows evidence of follicular cells breaking the capsule. A second primary occurs in the other lobe in about 5% of patients ...Read more
Hetrogenous thyriod nodule without evidence of discrete thyroid nodule it right lobe measures 5.7x1.4x1.7 while left lobe 5.4x1.4x1.7?
Hashimoto's disease?: A very common thyroid condition, known as hashimoto or chronic lymphocytic thyroiditis -- is when the body's immune system attacks the thyroid gland. This can cause an enlarged inefficient thyroid gland (large size of ultrasound measurements) and scarred heterogeneous appearance (in ultrasound description). Eventually many patients will become hypothyroid. Thyroid antibody levels are usually high. ...Read more
Direct and indirect: Hashimoto's disease is a common cause of underactive thyroid. Complications would include the often experienced symptoms & signs, such as low body temperature, weight gain or inability to lose weight, dry brittle nails and hair, constipation, depression, elevated lipids, fatigue, and lethargy. Since Hashimoto's is an auto-immune disorder, other auto-immune conditions may co-exist in same patient. ...Read more
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Thyroid gland is increased in vascularity suggestive of underlying thyroiditis.....
Tsh is normal?
Happens regularly: This picture is encountered relatively often. Think of it as if the thyroid is inflamed but still has enough reserve to produce adequate hormone. It can be seen in conditions like subclinical thyroiditis or in hashimoto's disease, after the thyroid is "burnt out" and doesn't produce elevated hormone, but before the hormone levels become low. See an endocrinologist for more information. ...Read more
Many: If the adenoma produces extra parathyroid hormone, you can have high calcium concentration in your blood which can cause many symptoms and conseuquences including: constipation, abdominal pain, fatigue, musle weakness/twiches, renal insufficiency, excessive urination and dehydration, kidney stone production, osteoporosis, memory loss, depression...It needs to be evaluated and taken seriously. ...Read moreSee 1 more doctor answer