I'm a bit freaked out. I went to the doctor yesterday for a regular checkup. She noticed my thyroid is swollen and ordered blood work. She said this is common in women post partum (I have an 8 month old).
The nurse just called and my level is 9. About a month ago, I saw an Ear, Nose, Throat specialist b/c of some swollen lymphnodes in my neck. He did noticed that my thyroid felt swollen and ordered a thyroid ultrasound AND ct scan of my neck. After reviewing, he said he doesn't see anything alarming like cancer. So I'm wondering if he missed something and this could be cancer?? My doctor yesterday mentioned Thyroid Disease so I hope it's that over cancer. I really don't know anything about the thyroid so sorry if I sound dumb here. I'm just a bit worried.
If it was cancerous, wouldn't it have shown on the ultrasound and ct scan???
Thyroid cancer doesn't arise from a gland that's evenly swollen all over. It comes from lumps and bumps known as nodules, which would show on ultrasound. I highly doubt you have thyroid cancer. It's most likely the very common postpartum thyroiditis. It may resolve on its own in a few months, but having had it predisposes you to the permanent kind later on in life. Keep that in mind for the future.
You should be given a script for thyroid hormone if you're having significant hypothyroid-type symptoms.
Well is it strange that I don't have symptoms?? I lost my baby weight in about 3 months but I'm maintaining my normal weight-never been underweight. I don't really feel to tired- I have an 8 month old so its hard to tell. The doctor is going to look at the report from my thyroid ultrasound and ct scan and go from there I suppose.
Since my level is a 9 - does that make me hyper? And would this be the reason for my lymphnodes in my neck being swollen??
The higher the TSH, the more hypO one is - as far as TSH can be relied upon, that is. There are incidences where there's a fault in TSH secretion, but that's far less common. But it's a valid reason why MDs are so mistaken to think TSH is the only thyroid test that's needed. Your actual thyroid hormones (free T4/T3) should be measured, too. But... Since you don't have noticeable debilitating symptoms, you're probably safe to wait it out, getting new tests every 6 weeks - both TSH and free T4, at least. If the TSH doesn't fall below 2, and if the free T4 remains at the bottom of its range (as I suspect it is now), the onset of symptoms is almost sure to eventually follow. You will need hormone at that point.
I'm not sure why the lymph nodes would be swollen; but thyroiditis is an inflammation like any other, and I'm guessing that could cause lymph swelling. If it's a viral thyroiditis, it definitely could.
Thanks for the info. You told me a lot more than the nurse did yesterday! She was filling in my doctor's nurse and all she knew was that the test came back abnormal and when I asked for a number, she told me 9.
I do know that there were other blood testing done on my thyroid (t3? t4? something like that?) I remember seeing my doctor write them all down on the lab order but again, I wasn't given any other numbers at that 9.
Well I feel some better. At least I know I'm not dying. I tend to freak when it comes to my health. I'm just trying to remind myself that if there was anything cancerous, they would have seen it on my thyroid ultrasound and ct scan.
I just received the report from my thyroid ultrasound and ct scan. There is a "well defined hypoechoic lesion in the right part of the isthmus measuring 0.9 x 0.4 cm. There is a similar lesion in the left side of the isthmus measuring 0.4 x 0.9 cm. There are two sharply defined hypoechoic lesions related to the lower pole of the right lobe of the thyroid. The larger measures 1.0 x 0.6 cm in cross section and 1.3 cm in length."
The conclusion: "Several lesions are seen in relation to the thyroid. All or some of these lesions coule be due to enlarged lymph nodes. CT scan of the neck is suggested for further evaluation."
On the report for my CT scan, under findings, it says, "the included portions of the orbits, masticator spaces, major salivary glands, and thyroid gland appear normal." - So why does it appear normal if it has lesions??
On the CT scan, the impression says, "Two or three lymphnodes adjacent to the thyroid gland as discussed, which are nonspecific."
Of course I'm no doctor but just reading the thyroid ultrasound report seems alarming to me unless "lesions" are common. *sigh*