It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Thyroid Disorders Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-28-2011, 02:35 PM   #1
Newbie
(female)
 
Join Date: Aug 2011
Location: Independence, MO USA
Posts: 4
teajah1098 HB User
Needing help with understanding us results ~ large thyroid with nodules

Are these big enough they will take my entire thyroid out?? I go to the Endo on Tuesday 08/30. Could these be cancerous? Is the size of my thyroid considered big? I need advise I am very worried about the size of my thyroid and the fact I am getting more nodules and the ones I already had are getting bigger. I have gotton the run around for years an just want answers

The right lobe of the thyroid measures 8.4 x 3.4 x2.6 cm and is heterogeneous. Multiple nodules are present. Some of these nodule can be correlated with previous ultrasound from 05/28/2008. The nodules are noted as follows. In the inferior portion a 1.1 x 1.0 x .9 cm nodule, which is hypoechoic. A complex nodule in the mid portion of the right lobe measures 1.5 x 1.5 x 1.2 cm. A previosly noted nodule in the mid portion of lobe now measures 2.3 x 1.6 x 1.1 cm. Previously it measured 9.3 x 11 x 6 mm. Within the anterior portion of the right mid lobe a hypoechoic nodule with internal flow is noted at 1.4 x 1.2 x .7 cm and within the superior pole a nodule i hypoechoic with increased flow measuring 8.5 x 8.1 x 5.4 mm.

The left lobe measures 7.2 x 2.0 x 2.6 cm. There are four nodules in the left lobe, one that is complexed in the superior pole measures 2.2 x 1.9 x 1.5 cm. This had measured 1.4 x 1.5 x .9 cm on the previous study. Within the inferior pole there is a 13.5 x 8.3 x 6.6 mm hypoechoic nodule with flow. This previously had measured 7.3 x 5.8 x 3.9 mm. Two nodules are identified that are not related to previous nodules. One in the inferior pole, which is mildly hypoechoic measures 1.5 x 1.4 x 1.1 cm and an isoechoic nodule in the mid portion measures 11.2 x 7.5 x 7.6 mm.

Within the isthmus there are two nodules. One measuring 1.4 x 1.2 x 1.0 cm and a second one along the superior margin measuring 7.4 x 9 x 5.1 mm. The isthmus measures 6.8 mm in its average thickness.

Last edited by teajah1098; 08-28-2011 at 05:12 PM.

 
Sponsors Lightbulb
   
Old 08-29-2011, 05:16 AM   #2
Senior Veteran
(female)
 
Join Date: May 2005
Location: NY
Posts: 3,682
Reece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB User
Re: Needing help with understanding us results ~ large thyroid with nodules

Oh, that is tremendous. Yes, I think you must get this diseased organ out of your body. Forget the nodules, this thyroid has grown out of control. The cells inside might all be benign, but they can mutate, and this may be wrapping itself around your airway and other structures in your neck causing discomfort. Your nodules aren't as big of a problem as fitting an 8cm thyroid lobe in a confined space of your neck.

You need to find a really great surgeon, that can handle what will be a very challenging surgeon. Don't use just anyone, keep looking until you find a specialist at a major university hospital.

 
The Following User Says Thank You to Reece For This Useful Post:
teajah1098 (08-30-2011)
Old 08-30-2011, 08:55 PM   #3
Newbie
(female)
 
Join Date: Aug 2011
Location: Independence, MO USA
Posts: 4
teajah1098 HB User
Re: Needing help with understanding us results ~ large thyroid with nodules

I went to the Endocronologist today and found out this is a toxic multi nodule goiter and she is sending me to a surgeon to have this removed. I just started taking Methimazole 10mg 3x per day until I have the surgery. I'm a little worried about having to take meds for the rest of my life after reading about others and how long it took them to get on the right amount of meds. Has anyone else had this surgery and if so how long will recovery be and much time would I need to take off work?

My Endocrinologist also said the surgeon will biopsy the nodules to see if they are cancerous before they take the thyroid out. Does this sound like they could be cancerous?

Last edited by teajah1098; 08-30-2011 at 09:19 PM.

 
Old 08-30-2011, 10:19 PM   #4
Senior Veteran
(female)
 
Join Date: Aug 2006
Location: Oak Ridge
Posts: 6,749
mkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB User
Re: Needing help with understanding us results ~ large thyroid with nodules

Hi again. I would jump for joy at being offered a thyroidectomy. But I am living with my pain in the but thyroid. Do not stress over the cancer worry. Cancer is only present in 5% of cases. Less that 1% of the 5% is the really bad cancer. It is standard to biopsy the thyroid tissue when removed. If cancer is suspect they give a mild RAI follow up in an attempt to kill any missed thyroid tissue and prevent regrowth.

Thyroidectomies are not that bad when done right. I recommend getting a specialized ENT to do the work. However a good general surgeon that has A LOT of experience with thyroids could work as well. Consult with the surgeon and make them make you comfortable with their removal of your thyroid.

Okay my mom and two of her sisters have had thyroidectomies. My mom had a partial thyroidectomy and then a full thyroidectomy 10 years later. Did you know thyroids can grow back if any tissue is left behind. Tricky buggers.

My mom's surgery was out patient. They didn't even keep her over night. THis concerned me because there is always that chance of parathyroid damage and thus issues with potassium and calcium absorption. My aunts spent 24-48 hours in the hospital and took about a month to get up to speed, but they had RAI and a lot of other thyroid crude to balance out. My mom never really slowed down. They gave her a script for 100 mcgs of T4 and told her to come back and 2 and 6 weeks for blood work checks. Her thyroid was removed last July and now the MD sees her every three months. She balanced out fairly well though she is still a bit under treated.

My other aunts had idiot MDs they had to ditch. WHen they got the right MD they were titrated on a mix of Armour and T4 and it took about a year to get optimal. The only missed work after their failed RAIs and during the first 2 weeks post surgery.

If you learn how to manage your care and push for proper tests at the proper intervals you can speed your titration to optimal levels. Many MDs are conservative and want you to hang out hypoT longer than necessary. How long it takes to recover and get back to your old self depends on you and your body. I wish you well and the best of luck getting the care you deserve.

Sincerely,
MG
__________________
If we learn by our mistakes, I am working on one hell of an education.

Last edited by mkgbrook; 08-30-2011 at 10:23 PM.

 
Old 08-31-2011, 04:38 AM   #5
Senior Veteran
(female)
 
Join Date: May 2005
Location: NY
Posts: 3,682
Reece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB UserReece HB User
Re: Needing help with understanding us results ~ large thyroid with nodules

I don't understand, if you are having the thyroid removed because it is so enlarged and diseased, why would they biopsy the nodules before they take them out? It makes more sense to take it out entirely (it's just so big) and then do a pathology on the nodules/thyroid lobes----I'm guessing that's what the surgeon will do in your case.

I don't think you have to worry about cancer at this point. Your surgery will be a bit more traumatic, because your thyroid is large, and may be stuck/wrapped around other structures in your neck. That's why you should see a few surgeons before you go for the surgery.

You probably have been hypo and hyper on and off for many years without realizing it, so if your endo. works with you, I don't think you will feel worse without the thyroid. You may even feel better!

My surgery was overnight, it was easier than my c-section because it affected my neck and not my whole body core. I was up and about in a few hours----but my thyroid was much smaller than yours despite the cancer.

If you've had other procedures, this will be easier, if you haven't, it's just the discomforts of surgery you may feel. Everyone is different. I had no pain, just took tylenol pm to sleep. I had no calcium/parathyroid issues. I was driving locally around day 4-5, went to a party for a little while on day 2. Give yourself plenty of time to heal---baby yourself.

Let us know what happens!

 
Old 08-31-2011, 06:21 AM   #6
Senior Veteran
(female)
 
Join Date: Aug 2006
Location: Oak Ridge
Posts: 6,749
mkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB Usermkgbrook HB User
Re: Needing help with understanding us results ~ large thyroid with nodules

Reece is a great one to listen too she like my mom had what o would call the standard thyroidectomy experience. My mom felt more pain post needle biopsy than after either of her thyroidectomy's. I still can not believe they did not monitor her after her first PT.

I second that the risk of cancer is low! Also the surgeon may do preliminary biopsy of the thyroid before sending it off for analysis. The did that to my mom's regrown half because it was so much larger than the other half and riddle with 15 nodules. It was nasty. I got to see thevpictures. They should start you on at least 100 mcgs of T4 out the gate. After that it is 12.5-25 mcg adjustments every 4-6 weeks until you are stable.

Remember to get copies of all you labs and check your thyroid balance. A third of us need some T3 supplementation because we have T4 to T3 conversion issues.

I wish you well.
__________________
If we learn by our mistakes, I am working on one hell of an education.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Beta-Blocker withdrawal causing Thyroid issues? Djhouse Thyroid Disorders 1 08-29-2011 08:50 AM
another person with test results Delia79 Thyroid Disorders 8 07-07-2009 07:21 AM
Need help with thyroid test results dburtaine Thyroid Disorders 6 02-22-2008 01:36 PM
Back from doctors with questions. Seabreezes22 Thyroid Disorders 3 10-31-2007 03:35 PM
Interesting Uptake and scan for cold nodules Results Oleander53 Thyroid Disorders 1 07-23-2007 02:41 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Armour
Cytomel
Levothroid
Levoxyl
Potassium
  Synthroid
Tapazole
Unithroid
Xanax
Zoloft




TOP THANKED CONTRIBUTORS



sammy64 (668), midwest1 (631), FinnMaid (312), Reece (225), lisa789 (196), Tree Frog (80), mkgbrook (72), cd37 (56), ladybud (47), Bran'sNana (44)

Site Wide Totals

teteri66 (1180), MSJayhawk (1006), Apollo123 (906), Titchou (850), janewhite1 (823), Gabriel (759), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 05:46 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!