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Surgery: Surgery is needed, followed by thyroid hormone replacement. Depending on how big, what type and whether or not it had spread (lymph nodes involvement), you might also need 1 dose of radioactive iodine. Good luck. Make sure you have a good surgeon and an endocrinologist on your team. ...Read moreSee 4 more doctor answers
Irradiation is the process by which an object is exposed to radiation. The exposure can originate from various sources, including natural sources. Most frequently the term refers to ionizing radiation, and to a level of radiation that will serve a specific purpose, rather than radiation exposure to normal ...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
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
Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?
Not usually: Technetium is usually trapped by thyroid gland and used to determine in young children and infants the configuration of thyroid gland, hypoplasia, absence, or increased size or hyperplasia, or abnormal location. Radioactive iodine is used in older patients for determine function of thyroid gland, increased function or hyperthyroiidism or decreased function, hypothyroidism. ...Read moreSee 2 more doctor answers
Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?
Need more info: Radioactive iodine is often used for graves' disease which is a hyperactive thyroid condition. I am assuming you were given this option or partial thyroid removal to control the problem. The radioactive therapy is usually preferred but sometimes surgery is better depending on many issues. You need to discuss with endocrinologist and surgeon. ...Read more
Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read moreSee 2 more doctor answers
So continuous radiation that focuses on thyroid CT scans and radioactive dye from pet scans can't destroy someone's thyroid gland causing it to fail ...Leading to hypothyroid issues ?
YES: An uptake value will be established. Uptake can be low, normal, or high. Scan will be diagnostic if enough iodine localizes in the thyroid gland. Large amounts of stable iodine from iodized salt and ocean seafood can compete with radiodine and decrease uptake. ...Read moreSee 2 more doctor answers
Several factors: Amount of rai dose is caliculated , based on several factors, age, sex, body weight , extent of disease, blood levels reaching less than bone marrow toxic dose of lees than 200 rad . Dose varies li greater than 1.10 (30mci) most of the doctors will not bother to know as the expert radiotherapists doctors who are specially trained will calculate and administer ri. ...Read moreSee 1 more doctor answer
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
Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?
Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read moreSee 1 more doctor answer
To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?
Depends: The dose is related to the risk of recurrent disease. The larger the primary tumor, the higher the risk. In your age group (under 45 yo) the risk is relatively low, even with having a positive lymph node. The recommended dose would be as low as 30 mci or as high as 100. ...Read more
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