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Doctor insights on: Thyroidectomy Pros And Cons Nodules

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My son had a partial thyroidectomy done two days ago. How would he find out of the nodule removed was hot or cold?

My son had a partial thyroidectomy done two days  ago. How would he find out of the nodule removed was hot or cold?

Not important now: During the study phase, knowing if a nodule is hot or cold helps to better characterize possible etiologies of the nodule in search of a diagnosis. A thyroid uptake & scan is noninvasive and used for this purpose. However, after a partial thyroidectomy, the tissue specimen is sent for direct visualization (histopathology) for a final diagnosis obviating the need of a thyroid scan. ...Read more

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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Had a tot. thyroidectomy - Sono clearly showed 3 nodules-3.2, .6 & .4 cm-yet pathology report only tested the 3.2 Why wasn't others mention in report?

Small nodules: Assuming the big one was benign, very small thyroid nodules like that are usually considered insignificant. It is likely that the pathologist examined them grossly and there was no irregularity or other abnormal features and so decided not to section them. What appeared to be a "nodule" on U/S may have only been scar tissue or something else when it was actually taken out. ...Read more

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What does a hypoechoic non vascular round shaped nodule 7mm on thyroid bed. Post thyroidectomy. Meaning?

What does a hypoechoic non vascular  round shaped nodule 7mm on thyroid bed. Post thyroidectomy. Meaning?

Not entirely clear: This means there is a "nodule" or lymph node in the area where your surgery was. If the surgeon performed a partial lobectomy, then there could be some thyroid left there and also a nodule. It could be a lymph node that was outside of where the thyroid was. Also, in reality if the surgeon did remove the entire lobe, it could be remnant scar that is being interpreted as such. Speak with surgeon. ...Read more

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Had a total thyroidectomy last wk due to indeterminante nodule.1 pathology say cancer other say its not its being pass to other pathology who believe?

Had a total thyroidectomy last wk due to indeterminante nodule.1 pathology say cancer other say its not its being pass to other pathology who believe?

Thyroid Nodules: Most common thyroid cancer is papillary, followed by follicular and much less commonly medullary and rarely Anaplastic. The pathologist needs the entire specimen for proper determination and not just needle aspiration or "biopsy". You need to speak to your doctor and if the reading on the thyroidectomy is in doubt, then it needs to be sent for another opinion, possibly consult AFIP. ...Read more

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My thyroid us report. Right thyroidectomy. Hypoechoic nodule in isthmus. .8 x .8 x 1.8 hypoechoic focus in right thyroid bed. No normal tissue in r?

My thyroid us report.  Right thyroidectomy. Hypoechoic nodule in isthmus.  .8 x .8 x 1.8 hypoechoic focus in right thyroid bed.  No normal tissue in r?

Thyroid ultrasound: By reporting "Right thyroidectomy" it is generally understood that the right thyroid lobe is surgically absent or has been removed. The .8x.8x1.8 hypoechoic focus in the right thyroid bed would suggest that there is something in the soft tissues behind where the thyroid was removed that is showing up. This could be a parathyroid gland, lymph node or something else. Get back with your doctor. ...Read more

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Previous hemi-thyroidectomy. Now, multiple small nodules and one 12 mm complex, peripheral vasc. Doc says come back in 1 year?

Thyroid lesions: If you are not comfortable with that assessment, seek a second opinion. It may be a wise decision to get another opinion by a board certified head and neck surgeon or endocrine surgeon. ...Read more

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I had a total thyroidectomy due to suspicious nodules. The patho report showed a small 8mm cancer. Will i need to do a pet scan yearly for 5 yrs?

I had a total thyroidectomy due to suspicious nodules. The patho report showed a small  8mm cancer. Will i need to do a pet scan yearly for 5 yrs?

Maybe all done.: You had a total thyroidectomy for a microcarcinoma. Depending upon what the pathology showed, you are done. You can be followed by an endocrinologist who will be able to use a blood test, serum thyroglobulin, to screen for residual/recurrent disease. However, you should understand the nature of your cancer and any other findings in your thyroid outside of the cancer for best follow up care. ...Read more

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I had a a total thyroidectomy to remove a 3 CM malignant nodule. Do i need rai treatment? If i do, how do I protect my family? I have a 13 years old.

I had a a total thyroidectomy to remove a 3 CM malignant nodule. Do i need rai treatment?  If i do, how do I protect my family? I have a 13 years old.

Probably so.: Assuming it was a 3cm papillary or follicular thyroid cancer, most physicians would advise you to have rai (i-131) at this point, as it will improve your chances of survival. The center that gives you the rai should be able to explain the radiation safety precautions to you. It is important to remember that rai has been saving lives for over 6 decades and is given thousands of times per year. ...Read more

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Having a total thyroidectomy. history hypo, multiple nodules, on Synthroid (thyroxine) 100mcg. Had horrible wt gain over yr. Will i likely gain lots of wt after?

No: You do not need a thyroid, you just need thyroid hormone in the correct dose to maintain a normal TSH level. If your thyroid level remains normal, it should not affect your weight. I assume that you are having a total thyroidectomy because you had a thyroid biopsy that was suspicious for thyroid cancer. If this is not the case, you should get a second opinion from an endocrinologist. ...Read more

Dr. William Culviner
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Thyroidectomy (Definition)

This is the removal of all or part of the thyroid gland. It is generally performed for rumors of the gland, occasionally for enlarged and hyper functioning glands that do ...Read more