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Old 06-18-2012, 11:53 AM   #1
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Question nodules and hurthle cell=surgery!

I recently was diagnosed with a nodule on my left thyroid w/ hurtle cells. I am scheduled for surgery in a few weeks. Yes I am a bit stressed ....reading the post and from my Doctors visits...all this is heavy. I'm only having partial removal of thyroid unless the nodule proves to be cancerous then they will go in and remove remaining thyriod. I inquired about total thyroidectomy by his rule was take only whats needed. Both Aunts had same surgery and both had two additional surgery years later. I dont want to repeat later but Dr. didnt see it my way. I'm already a heavy lady and dont want to gain more weight. is that a possibility? I took off work for an entire week....Dr. said I would be tired......with partial rmoval is meds neccessaey? Plase if you share my experiance please respond!

Ladypj

 
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Old 06-18-2012, 02:33 PM   #2
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Re: nodules and hurthle cell=surgery!

I think the key is that your thyroid levels are well managed---that's what will effect your weight.

I too, think that it's sometimes good to get the whole thyroid out---because even if benign, whatever it is that caused the first nodule to grow, may cause one to grow on the remaining side. It can also help you avoid a second surgery.

I would tell the surgeon--"take as much out as you safely can..." because if he goes in and finds a very diseased thyroid, maybe he'll be inclined to just removing it---you never know how it will effect his decision process during the surgery. Do you have any other surgeons you can use?

You sometimes need meds with partial and sometimes you don't. I have a feeling with your history of family members with nodules, you have an undiagnosed thyroid problem, and probably have needed thyroid meds all along. Sometimes it's good to start with no thyroid, and find a good balance of meds. that way. You really need a good doctor to work with to manage thyroid levels.

My surgery was a breeze---I had thyroid cancer, and had to go through the steps to eradicate it, but now I'm fine. I hope all goes easy for you too!

 
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Old 06-18-2012, 10:33 PM   #3
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Re: nodules and hurthle cell=surgery!

thank you Reese.....I just dont want to ber in the Dr office all the time. Normally I am never sick....I have to really be sick to go..How they found the nodule I went to ER with chest pains and a CT scan or MRI found it! Thank God for ther pain...I never would have found the nodule until later....So here I go...I want to get it over with because waiting to see what lies in the nodule is causing anxiety. I trust its all wel! Before I knew this thing exsisted I didnt feel anything...now I think I feel it when I swallow......possible?

 
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Old 07-24-2012, 05:51 AM   #4
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Re: nodules and hurthle cell=surgery!

I'm going through this currently. I'm a 43 yr old male. Noticed a lump on my neck about 6 mos ago and let it go. Finally went to my primary doc who ran blood tests (thyroid levels normal) and chest xray (normal). He sent me to see a surgeon who was great. He recommended a Fine Needle Aspiration (inconclusive) but due to the size recommended a partial thyroid lobectomy.

When he did the surgery he saw it was much larger than expected. 8cm x 8cm x 5cm leaving very little good thryoid tissue. It had trans versed from the left side to the right. They did a frozen section biopsy during surgery (inconclusive) but from his experience he opted for a total thyroidectomy then and there just in case it was cancerous.

Turns out a week later the pathology says it was Hurthle Cell Carcinoma.

The surgery was easy, so was the fine needle. Just waiting in the worst part.

I'm now on Synthroid and waiting for an appointment with an Endocrinologist to see what they feel the next course of action is. Iodine 131 doesn't sound very effective on this type of cancer so we'll see. From what little there is to read out there I'm trying to keep positive about the outcome.

 
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Old 07-24-2012, 04:36 PM   #5
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Re: nodules and hurthle cell=surgery!

Sorry about your diagnosis--hope all goes well...

 
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