Doctor insights on:
Treatment For Asymmetrical Thyroid
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
Options: Depends on the size of the nodule, you can either do an ultrasound guided biopsy to rule out cancer or follow it with yearly ultrasound to make sure that it's not growing or do the biopsy if it grows. If it's causing swallowing/breathing problem or if it's producing extra hormone, surgical removal is also an option. If biopsy showed cancer, you will need surgery. ...Read moreSee 2 more doctor answers
Many : Many factors effect whether surgery is appropriate. The size of the nodule, thyroid blood tests, biopsy findings from the nodule, and findings on thyroid ultrasound. These all need to be considered to make a sensible decision on how best to proceed. And your anxiety about cancer and family history of cancer also must be factored in during your discussion with your endocrinologist. I suggest a visit with an endocrinologist before any surgery is done. Most (90%) of thyroid nodules are not cancerous. Good luck. ...Read moreSee 1 more doctor answer
Surgery: A surgery named total thyroidectomy is the mainstay of therapy for thyroid cancer. This may be done with or without a central neck dissection depending on your particular surgeon's prefrences and how aggressive your particular thyroid cancer may be. After surgery depending on multiple factors you may or may not receive radioactive iodine ablation. ...Read moreSee 2 more doctor answers
What's best treatment for autoimmune thyroid disease and how is the treatment different than typical hypothyroidism?
Most often none: Most often the autoimmune process is not treated. We treat hypothyroidism or hyperthyroidism as those are the important consequences of the process. Treating the process itself with immune suppression is theoretically possible, but not done as such treatments can have serious consequences and in thyroid disease do not offer advantages. The only exception is graves' disease with ocular complication. ...Read moreSee 1 more doctor answer
What is the best treatment for hyperthyroidism, particularly for autoimmune thyroiditis unresponsive to drug therapy?
Furhter eval: Hashi and most autoimmune illnesses stem from undiagnosed food allergens or environmental toxins stored in the body. Go to a4m.Com and use doctor locator function to find a local functional medicine doc to help you order specialized testing for gut like genova cdsa as well as metametrix igg food allergen testing to discover real cause. If not "fixed" other autoimmune illnesses will be in upcoming! ...Read more
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
Please help! what is the treatment of choice for papillary carcinoma thyroid discovered in a hemi thyroidectomy specimen?
Options: Typically, if the carcinoma is 1cm or larger, then the other half of the thyroid is removed. If it is smaller than 1cm and unifocal (as opposed to multifocal), then the other side can be observed or removed. However, it really depends on multiple factors that you and your surgeon will have to discuss. ...Read moreSee 2 more doctor answers
Although: There are some conditions that cause transient (temporary) low functioning thyroid, and those may reverse on their own (will cure itself)- such sick euthyroid or some phases of thyroiditis. Or rarely in the US, iodine deficiency associated hypothyroidism may be completely reversed with eating iodine supplemented food. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Is it possible for thyroid nodules, associated with Hashimoto's, to completely disappear without any treatment?
Hashimoto's: Hashimoto's thyroiditis is an autoimmune disorder in which your bodies immune system attacks your thyroid. The thyroid usually shrinks over time in this disease. I would be surprised if thyroid nodules also disappear with this disease. If they grow they should be evaluated at some point. ...Read more
Graves disease, mixedema and exopthalmos , scheduled for compete thyroidectomy bc not responding to treatment. Will these 2 resolve after surgery?
Exopthalmos maybe: Graves disease (hyperthyroidism) is much easier treated by radioactive ablation with i131 than surgery.Complications of surgery do not occur. The radioactive iodine destroys the gland making patient hypo or nothyroid. While exophthalmos generally improves with correction of hyperthyroidism, not always the case.Myxedema is not related to hyperthyroidism but is the same as severe hypothyroidism. ...Read more
Mis-matched: yes the larger breast can be reduced, or the smaller one made larger. If they are also different shapes then skin was be removed to match the two breasts. remember if they were no perfect to begin with they will be better after surgery but a perfect match doesn't exist. ...Read moreSee 2 more doctor answers
History of graves ' andnow hypothyroiditisum. Is it normal for the thyroid gland to be swollen for almost 1year now?
Thyroid diseases: Graves is an autoimmune disorder and can be variable in its presentation, course and response to therapy. It can be normal to have hypothyroid after treatment for graves. Okay to be monitored and treated by your doc or endocrinologist. ...Read more
Most Are Benign: Doctors' dont "treat" thyroid nodules unless there is concern for cancer or they get big enough that they cause problems. Solitary nodules are more concerning for cancer than thyroids with multiple nodules in them. If there is a concern for ca they are biopsied. If worrisome, the half portion of the thyroid with the nodule is removed, not just the nodule. See my comment below for more. ...Read moreSee 1 more doctor answer
Multinodular goiter dx. Us biopsy of thyroid- benign. What's the treatment for goiter? history of cancer- can't i just get it removed prophylacticly?
Why?: Unless it represents a danger like cancer, or is a severe physical or cosmetic problem, why remove an organ "prophylactically"/ if that were true, why not also "prophylactically" remove your nose, breasts, external ears, toes, one kidney......And all the other parts of your body you don't really need that could potentially cause trouble in the future? ...Read moreSee 1 more doctor answer
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