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Old 04-26-2010, 11:23 PM   #1
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Question Thyroid enlarged...normal blood test?

Hello all.

I am new to this topic.
I went for my normal GYN "routine" checkup.
My Dr. said my thyroid is enlarged.
Did blood work, normal.
I can feel it on the right side. I have also noticed swollen nodes along my jaw (same side) and also an enlarged area around the back side of my neck just right of my spinal chord.
Keep in mind, if she hadn't said anything, I probably wouldn't have noticed any of this. There is no tenderness in any of these areas.

My question is, should I pursue looking into this? She has said to check with my PCP and request an ultrasount. What will that show?

I really don't know where I should go from here. If my blood work is "normal", is there really any problem?

They also found a lump in my breast however it doesn't show up on ultrasound....but can feel it. They say it is probably fatty tissue.
I feel pretty confident in that diagnosis.

ANYWAY, so much for a routine exam...lol

Any input would be of great help.
Thanks

 
Old 04-27-2010, 01:28 AM   #2
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Re: Thyroid enlarged...normal blood test?

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Originally Posted by cls1 View Post
If my blood work is "normal", is there really any problem?
There can be a problem with labs "within range" - ask for a copy of your results and post them here. Are you having any (other) symptoms?

 
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Old 04-27-2010, 07:42 AM   #3
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Re: Thyroid enlarged...normal blood test?

And definitely pursue that ultrasound.

 
Old 04-27-2010, 04:15 PM   #4
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Re: Thyroid enlarged...normal blood test?

Thanks.

I don't have my blood work totals back yet BUT I went for my ultrasound and here are the results:

Right lobe is heterogeneous. In the mid pole there is a 1.4 X 1.5 X 1.3 nodule that has a thin hypoechoic rim and is heterogeneous otherwise.
Right size... 4.3 X 2.0 X 2.1 cm

Left lobe is heterogeneous, but no descrete cysts or nodules are seen.
Left lobe .... 4.3 X 1.9 X 1.9 cm

Isthmus: 0.5 cm

I have no idea what ANY of this means....I have a copy of the results but haven't spoken with my docotor yet. They haven't called ( I expect to hear from them tomorrow).

Does this mean anything to anyone? It's a foreigh language to me...lol

Thanks again,

Christi

 
Old 04-27-2010, 07:15 PM   #5
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Re: Thyroid enlarged...normal blood test?

That nodule is large enough that you'll want to have it biopsied.

Post your labs when you get them back so we can see if you are hypo as well. Are you having any symptoms?

 
Old 04-27-2010, 10:21 PM   #6
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Re: Thyroid enlarged...normal blood test?

Symptoms? No, not really.
I have been so busy, so I'm tired.
I have noticed headaches. I never get headaches.
And for the past few weeks, I have had some.

Other than that....nothing out of the ordinary.
My periods have never been regular, so that's not an indicator..lol

To be honest, I was more concerned about a pituitary tumor, because my sister was diagnosed 20 + years ago. She has to monitor it, and her vision is pretty bad.

I am waiting for lab numbers and hoping to hear back from my dr. tomorrow.

I will keep you posted.

 
Old 04-29-2010, 09:20 PM   #7
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Re: Thyroid enlarged...normal blood test?

Okay.
I got my lab results.
All it says is my thyroid level is 1.4 ?
This is all it says. What is that?
It says it is in normal range.

My doctor STILL hasn't let me know what my next step should be.
Should I contact a specialist for the nodule and have it biopsied?
OR am I making too much of it?
Could something be wrong even though my levels are normal?

Thanks.
Christi

 
Old 04-29-2010, 09:26 PM   #8
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Re: Thyroid enlarged...normal blood test?

You need more tests than just TSH. Ask for a free T3, free T4, and TPO and TG antibodies. And you need to get your doc to refer you to have that biopsy done. A normal TSH doesn't mean anything.

Last edited by javelina; 04-29-2010 at 09:27 PM.

 
Old 04-29-2010, 09:38 PM   #9
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Re: Thyroid enlarged...normal blood test?

What type of doctor specializes in thyroid?
I think I may need to "move on".
I'm sure she (my dr) will send me to someone else.
I thought perhaps I would look some Dr's up in my area.

Thanks.
I am sure the "new" doctor will order more tests....right?

 
Old 04-30-2010, 12:47 AM   #10
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Re: Thyroid enlarged...normal blood test?

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Originally Posted by cls1 View Post
What type of doctor specializes in thyroid?
Endocrinologist is a "thyroid specialist" but not all endos are really keen to treat thyroid issues properly.

 
Old 04-30-2010, 07:19 AM   #11
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Re: Thyroid enlarged...normal blood test?

Yes, good endos are as rare as hen's teeth and you can wait ages to get in only to be disappointed. But it may be your only choice for getting that FNA (fine needle aspiration) of your nodule, though any doctor who has been trained in FNA and pathology can do it. Ask around and see if any endos in your area are more open-minded (and one indicator of this is if they prescribe desiccated thyroid, even if this isn't your choice for hormone replacement, you will need a doc who is willing to do the right testing and treat based on free T3 and free T4 levels, despite that "normal" TSH). Don't assume any doctor will order the right tests. You need to verify that you are getting free T3, free T4, thyroid antibodies TPO and TG, and request vitamin D, B12 and ferritin levels. Doctors rarely do these and the sign of a good doc is one who knows to order or is willing to order if you request them.

BTW, irregular periods are a very common hypothyroid sign so they can be a big indicator that you're having symptoms, as well as your fatigue.

 
Old 04-30-2010, 08:24 AM   #12
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Re: Thyroid enlarged...normal blood test?

I too have an enlarged thyroid with normal test results. My endo did the ultrasound and the biopsy. The nodule is a little over 3cm large, but the biopsy came back benign! He said that it is fairly normal to have nodules but not be hypo or hyperthyroid. I am now going to see the head and neck surgeon to discuss having at least half of my thyroid removed because the nodule is causing me problems with swallowing and makes me self-conscious. As others have stated, you need to get the biopsy done so that any needed next steps can be taken!
Best of luck!

 
Old 04-30-2010, 10:34 PM   #13
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Re: Thyroid enlarged...normal blood test?

Oh thanks you so much for your posts.
You have been great.

My doctor called this afternoon.
She has spoken with an ENDO Dr. and I am seeing him on MONDAY.
WOW....that was fast.
I do know that she ordered a Vit D & 12 test. It was all good.

Two years ago I ended up in the hospital with Pericardial Effusion (heart sac filled with fluid). They cut a hole or window in the sac around my heart to drain. It was a scary time for me. They were never able to figure out why this happened....hmmmmm. I am sure the two have nothing to do with each other, but I am a little concerned.
I cannot wait to see the doctor on Monday. I will give you heads up on how it all works out.

Will you have to take hormones if you have part of your Thyroid removed?
Best of luck to you. Congrats on the benign biopsy!! That is just great.
I have heard & read that thyroid nodules are very common.

I cannot thank you all enough!
Thanks for answering some of my silly questions....lol

 
Old 05-02-2010, 03:32 PM   #14
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Re: Thyroid enlarged...normal blood test?

I totally am here with you, I suggest to try to stay on top of what the doctors are telling you, I didn't and now it's been two years and I still don't know whats going on. Keep updating to let us know how you're doing

 
Old 05-02-2010, 10:48 PM   #15
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Re: Thyroid enlarged...normal blood test?

Newly21,

Im meeting with an endo doctor tomorrow afternoon.
I'm sure there will be more blood work.
I wil definately post any new info!

Did you have normal blood tests? If so, what tests did they run?
Maybe we can compare notes...lol
Best of luck to you.

-Christi

 
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