Doctor insights on:
Thyroid Cancer Symptoms Fatigue
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Lump in the neck: Thyroid cancers may produce a lump in neck over the thyroid; if functional, the tumor may express as hyperthyroidism and cause rapid heart rate, palpitations, weight loss, intolerance to heat etc. Many cancers may be asymptomatic and may only be picked up during a physical examination. Some may not become apparent till metastases develop in the local lymph nodes. ...Read more
What are thyroid cancer symptoms? My lymph nodes are swollen, so I first thought I had an infection. But I feel ok, the swelling isn’t going away and now my voice is hoarse. Could I have thyroid cancer?
Thyroid cancer: Thyroid cancer normally presents with a mass that is biopsied to show cancer. Advanced cancer can affect the recurrent laryngeal nerve to change your voice quality (mass effect) or lymph node involvement. Lymph node enlargement is more commonly related to a cold or infection. See your doctor for more details. ...Read more
Since having thyroid cancer my TSH is now. Lose to 0.1, however I am very fatigued. Could this be the reason?
Could be: With a history of thyroid cancer it's generally thought advisable to keep TSH around 0.1. TSH is the pituitary hormone that stimulates the thyroid. Keeping it low is to avoid stimulation of any cancer that may remain. But if your thyroxine dose is excessive [T4 level above normal range], that can cause fatigue. ...Read more
I've had my thyroid removed due to thyroid cancer and lately my tongue burns and my muscles feel very fatigued and burn slightly all the time. Related?
Thyroid: Was it removed surgically or ablated with radioactive iodine? When was TSH last checked? Med dose may be low, but should also follow-up with oncologist to make sure cancer did not spread. Parathyroid function should also be checked (regulates calcium levels, which can affect muscles). ...Read more
Thyroid cancer in'08, on synthroid, (thyroxine)Went todr b/c I had bodyaches, fatigue, chest pain, did b/w, called to tell me myTSH levels r 134 & FT4 r 1.05.Advice?
Are you sure that the TSH is so high.
Please let me know. ...Read more
I am having eye issues - blurriness, constant eye fatigue - post RAI treatment for thyroid cancer (3 weeks ago). Is there anything that will help?
Consult ur MD:
These are not normal side effects There should be no effects on the yes or blurriness
NOt related to RAI treatment
Fatigue is a possibility sine ur thyroid functions were suppressed to make the thyroid hungry for treatment and should dissipate as u resume ur thyroid repl therapy ...Read more
Is there another medication that can benefit me, other than Synthroid, that can help my fatigue, brain fog, etc.? I also had Thyroid Cancer two years ago and have it again... My last US showed some small cysts that may be calcified (?), are my chances of M
Possibly: Hypothyroidism if present is best treated with synthetic T4 levothyroxine Synthroid There is variability in absorption and distribution of generic T4 vs. Brand names Also variability in generic formulations of pure T3 Cytomel, (liothyronine) T4/T3 therapy may have some advantages over T4 alone. If disease? In neck excision, needed because cure rate at your age very high even in metastatic disease ...Read more
Have had papillary thyroid cancer and total thyroidectomy ~1 year ago. TSH all in range. Still feeling very fatigued, hard time focusing. Going to get ACTH and Cortisol checked thinking adrenals?
Endocrinology: Yes- get a full medical and endocrine workup and evaluation. ...Read more
Can papillary thyroid cancer come back 5 years after complete thyroid being removed and cause a cough, fatuige and problems swallowing?
Evaluation: You need to see your doctor to be evaluated to find the cause so be treated. ...Read more
Unknown: Most thyroid cancers are asymptomatic and are found after a lump develops in the neck or they are found quite by coincidence. There are many causes of the feeling of lumps in the throat (not neck). See your doctor for an evaluation. Maybe seeing an ENT may help. They can look in the throat and neck and reassure you. ...Read more
Is thyroiditis (based on u/s that showed borderline thyroid enlargement /goiter) related to thyroid cancer? If no nodes were seen? Have globus symptom
Globus: You started with a globus sensation which may be due to an anxiety disorder. You had a thyroid U/S done which sounds to be NORMAL. Thyroiditis is not diagnosed on ultrasound, its based on hormone levels. You have no goiter or nodules. You have a normal exam. You need to address the globus. You can get an ENT exam with laryngopharyngoscopy and talk to your doctor about treating anxiety or OCD. ...Read more
Variable: Early cancer may be asymptomatic. Common symptoms include, mass in the neck over the trachea, lateral mass due to metastases in the lymph nodes of the neck. Metastases to other organs, e.g., lung and bone may be the first symptoms. If the cancer produces hormone, anxiety, nervousness, high pulse rate, heat intolerance, weight loss etc due to hyperthyroid state may be the presenting feature. ...Read more
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
Yes and No.: Thyroid Cancer itself does not cause hypothyroidism or symptoms of hypothyroidism. Most people with thyroid cancer will have NO symptoms at all; some may have a lump in the lower neck, trouble swallowing, or hoarseness. Treatment for thyroid cancer (surgery to remove the thyroid) will cause hypothyroidism, but with proper treatment, there should be no symptoms. ...Read more
Thyroid cancer survivor. Family history of gallbladder disease, are the odds are that I'm more likely to get mine removed also? They had symptoms in late 30's
Maybe: There is definitely a genetic component to gallbladder disease, but it is still not possible to know who will actually need their gallbladder removed or not. In general, even those with gallstones only have removal of the gallbladder if they have symptoms that are likely caused from the gallbladder. Typically right upper abdominal pain radiating to the back, worse 30-60' after a fatty meal. Hope this helps! ...Read more
Usually none: Thyroid cancers can spread to lymph nodes in the neck, lungs, or bones. It can spread to other areas but it's rare for it to spread to the kidneys. When it spreads to the lungs, it does not usually cause symptoms until late in the course of the disease. If you have concerns, please talk to your thyroid surgeon or endocrinologist. ...Read more
I have symptoms of hyperthyroidism and a family history of thyroid cancer. Should I be concerned?
Papillary thyroid cancer with thyroidectomy in '08. Nausea all day low appetite headaches fatigue TSH. 007 not pregnant are my symptoms from low tsh?
Possibly: Unfortunately, your symptoms are non-specific. Meaning that many different things could be causing them. It is possible that your TSH suppression could be contributing to your symptoms.. ...Read more
Thyroglobulin tumor marker s value is 12. Is this normal? Have had thyroid cancer about 13 years ago
See your doctor.: If you had total thyroidectomy and radioactivie iodine treatment, the thyroglobulin (Tg) should be undetectable or very low (< 0.5). If your Tg has been in this range in the past, having a level of 12 now would be concerning for regrowth of the thyroid cancer, OR normal thyroid tissue, if any survived the initial treatment. If you have antibodies to Tg, that can cause falsely high or low Tg levels ...Read more
Treating thyroid cancer with armour, is this good or bad? Why do I see it ok with holistic dr. S but not so much with my endocrinologist?
Do I need rai for papillary thyroid cancer if my #s were pt1b & pn1a if diagnosed @ age 39? Didn't list metastasis other than pn1a. Don't want rai.
Pap thyroid cancer: Based on this staging, the tumor was 1-2 cm with some local tumor detected: an intermediate risk situation. Presumably you had a total thyroidectomy; but the surgeon can't get it all, so rai cleans up both cancer and residual thyroid and permits detection of recurrance. Most endo's would recommend rai. But if you wanted to delay a bit (eg. Pregnancy) you could, since pap ca is slow growing. ...Read more
Thyroid ca stage: If you are under 45, you can only be stage I in the thyroid or II with distant mets to the lungs, etc. Over 45, the staging is more proscriptive. T1 less than 1 cm. T2 1-4 cm. T3 (liothyronine) > 4 cm. T4 extra thyroidal extension. Nodal metastasis is staged N1a for central neck nodes, N1b for lateral neck nodes. M1 is for distant mets. ...Read more
Depends: The common types of thyroid cancer are slow growing and are typically not associated with physical symptoms. Unless the cancer is in a big thyroid mass (> 2 cm), you might not feel anything. The best way to evaluate for thyroid cancer is to have a thyroid ultrasound so you can see the gland visually. If abnormalities are seen on this exam, a thyroid blood test and thyroid uptake & scan is needed. ...Read more
Cancer that presents in the thyroid gland. It usually presents as a painless thyroid nodule. Most are papillary-follicular type and have a very good prognosis. Less common are medullary cancers, with an intermediate prognosis. Anaplastic cancers of the thyroid have a poor prognosis and are uncommon. Treatment of thyroid cancers involves removal ...Read more