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    Old 01-06-2010, 04:57 PM   #1
    mainla
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    Question Enlarged thyroid

    I discovered this site accidently today via Google and I am thrilled I did.

    During my routine annual checkup with my Dr. on 10/19/09, I was told my thyroid was enlarged so he scheduled a Thyroid Ultrasound on 10/27/09. Those findings were as follows:

    Demensions of the right lobe are 4.2 cm length, 2.0 cm AP and 2.3 cm tranverse. The right lobe is diffusely heterogenous and contains multiple solid-appearing nodules. The largest nodule measures 2.6 cm and involves the mid pole region. There is a 1.5 cm solid nodule of the lower pole region with scattered smaller nodules in the right lobe.

    Demensions of the left lobe are 4.7 cm length, 1.5 cm AP and 1.8 cm transverse. The left lobe is heterogenous and contains multiple solid-appearing nodules. The largest individual nodule measures 2.3 cm in size and involves the lower pole region. There is a 1.0 cm nodule in the mid pole region with scattered smaller nodules in the left lobe. The isthmus measures 0.34 cm in thickness and appears within normal limits.
    Impression: Enlarged gland demonstrating multiple bilateral solid nodules as above.

    NUCLEAR MEDICINE THYROID SCAN AND UPTAKE - 11/12/09
    Clinical History: Abnormal Ultrasound
    Technique: Exam performed using 269 mCi Tc-99m of l123
    Findings: Uptake at 4 hours was calculated to be 7.9%. Uptake at 24 hours was 17%. Values are within the normal range.

    There is a photopenic area involving the lower pole of the right lobe of the thyroid. Ultrasound demonstrated multiple nodules in the thyroid bilaterally. Photopenic area in lower pole is suspicious and biopsy should be performed. There is a focal area of increased uptake of tracer in lower pole of the left lobe of the thyroid which may represent a hyperfunctioning nodule. No cold nodule seen in left lobe.

    When I met with my Dr. on 12/30/09 to review the results, basically I was told part of my thyroid is not functioning and needs to be removed. I was referred to Dr. Nancy Perrier at MD Anderson in Houston and I have an appointment on 1/25 for testing and 1/26 to meet with the Dr. so she can tell me if I need to schedule surgery or not.

    Sorry this is so long, but felt I needed to give everyone some test results to see if anyone knows what all that means.

    Any insight would be greatly appreciated and it looks like many of us have thyroid issues.

    Thank you,
    mainla

     
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    Old 01-07-2010, 06:26 AM   #2
    golfhat
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    Re: Enlarged thyroid

    usually multiple nodules are benign but so many frankly keeps the thyroid from performing it's duties.

    A single large growth would be cause for concern as it is more likely to be cancer.

    however, cancer can also be in smaller nodules.
    Cancer can also be in cysts.

    I sure would have the surgery. Your thyroid is using blood hormone to grow nodules instead of using it to function your body.

    I had one large growth on one side and a cyst on the other.
    The surgery is not bad. I had only 1/2 removed, and thought I might not need meds.

    don't worry, I thought the whole thing was easy. I felt kinda off the first couple of days, & felt great the first month postop.

    Then I crashed and finally needed meds. You however will need meds immediately if they take the whole thing.

     
    Old 01-07-2010, 07:34 AM   #3
    mainla
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    Re: Enlarged thyroid

    My Dr. told me only part of my thyroid needs to be removed, the non-functioning part. However, I should know more when I meet with the Dr. at MD Anderson.

    I am concerned about the surgery and you have made me feel a little more comfortable about doing it.

    Did you have any symptoms? I noticed I had to constantly clear my throat and on random occasions had low grade fever, chills and a non-productive cough. I thought I was coming down with a cold, but the symptoms stopped after a day or so. The last time this happened was in early October.

    Thank you for your response, I appreciate the information. How are you doing now?

     
    Old 02-11-2010, 09:24 AM   #4
    Followell
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    Re: Enlarged thyroid

    Quote:
    Originally Posted by mainla View Post
    I have an appointment on 1/25 for testing and 1/26 to meet with the Dr. so she can tell me if I need to schedule surgery or not.
    Hi, Mainla
    I don't know if you'll get this through your email, or not. I hope you see it. I am anxious to see what you did and how you are doing, as I just got an e-mail from my endo with almost the exact thing. I am trying to decide what to do. I am going in for an ultrasound biopsy next week for a 2.4 nodule.
    This is all new to me, as well, so I am trying to research as best I can!

    I hope all went well for you!

     
    Old 03-02-2010, 11:26 PM   #5
    mskmal
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    Re: Enlarged thyroid

    Mainla,
    I am seeing Dr. Perrier this month. How are you doing? How did everything go?

     
    Old 03-04-2010, 08:24 AM   #6
    Followell
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    Re: Enlarged thyroid

    Quote:
    Originally Posted by mskmal View Post
    Mainla,
    I am seeing Dr. Perrier this month. How are you doing? How did everything go?
    I noticed you are going to a doc for your thyroid. I just found out mine has to be removed. I go to a specialist in Nashville.

    Have you already been once, or did you get referred, or just having trouble?
    I complained for two years that I had a lump in my throat, and they kept treating me for acid reflux (apparently that's a common symptom - referred sensation) I'm so glad they found the real reason, so I will be able to swallow better after the surgery!!

     
    Old 03-04-2010, 03:09 PM   #7
    mskmal
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    Re: Enlarged thyroid

    Follow,
    I asked my endo to do a ultrasound and he said no that I would just have a shriveled up thyroid. I had radio active iodine 10 yrs ago. But I insisted and they found the nodule. I had a FNA and it came back inconclusive. So now i am going to MD Anderson for further evaluation. The same doctor that Main has been to and was wondering how this doctor was. I feel like I'm hyper again even though my labs are not showing it. Something is wrong. I'm so glad you found out. Has yours grown? When are you going to have your surgery?
    Thanks......

    Quote:
    Originally Posted by Followell View Post
    I noticed you are going to a doc for your thyroid. I just found out mine has to be removed. I go to a specialist in Nashville.

    Have you already been once, or did you get referred, or just having trouble?
    I complained for two years that I had a lump in my throat, and they kept treating me for acid reflux (apparently that's a common symptom - referred sensation) I'm so glad they found the real reason, so I will be able to swallow better after the surgery!!

     
    Old 03-05-2010, 11:52 AM   #8
    Followell
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    Re: Enlarged thyroid

    Quote:
    Originally Posted by mskmal View Post
    Follow,
    I asked my endo to do a ultrasound and he said no that I would just have a shriveled up thyroid. I had radio active iodine 10 yrs ago. But I insisted and they found the nodule. I had a FNA and it came back inconclusive. So now i am going to MD Anderson for further evaluation. The same doctor that Main has been to and was wondering how this doctor was. I feel like I'm hyper again even though my labs are not showing it. Something is wrong. I'm so glad you found out. Has yours grown? When are you going to have your surgery?
    Thanks......
    Hey,
    After I complained about my lump for a couple of years, I finally got my primary to order an ultra sound. That's when I took the results of the large nodules to Vanderbilt in Nashville to an endocrinologist. She ordered a biopsy (which, by the way, was not a big deal...a shot of pain killer on the site hurt a bit, but then the hollow needle didn't hurt at all).

    The biopsy results revealed "follicular cells of undetermined significance, rare nuclear grooves, microfollicles, and Hurthle cells." The doc says they can't tell if it is cancer or not, so recommends removal of thyroid, since the cells are abnormal.

    My friend had the same thing, had half her thyroid out, and then had to go back for the rest of it removed after the post-op revealed cancer. She had to take only one pill and recovered quickly. She said it wasn't that big of a deal. (I was glad to hear that! )

    I'm going to go ahead and have the whole thing removed next month.

    My only symptoms are trouble swallowing, raspy voice and clearing my throat.

    I really recommend a teaching hospital if you can possibly get to one.

    Wow - I didn't realize how much I rambled! Good luck!

     
    Old 03-05-2010, 10:56 PM   #9
    mskmal
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    Re: Enlarged thyroid

    Oh that's OK.. Ramble anytime. I wish you the very best of luck. Can you keep me posted on how you are doing? My first biopsy I felt alot of pressure. Got me seven times. But still did not get enough tissue. You can post here or pm anytime. God Bless..

    Mamie



    Quote:
    Originally Posted by Followell View Post
    Hey,
    After I complained about my lump for a couple of years, I finally got my primary to order an ultra sound. That's when I took the results of the large nodules to Vanderbilt in Nashville to an endocrinologist. She ordered a biopsy (which, by the way, was not a big deal...a shot of pain killer on the site hurt a bit, but then the hollow needle didn't hurt at all).

    The biopsy results revealed "follicular cells of undetermined significance, rare nuclear grooves, microfollicles, and Hurthle cells." The doc says they can't tell if it is cancer or not, so recommends removal of thyroid, since the cells are abnormal.

    My friend had the same thing, had half her thyroid out, and then had to go back for the rest of it removed after the post-op revealed cancer. She had to take only one pill and recovered quickly. She said it wasn't that big of a deal. (I was glad to hear that! )

    I'm going to go ahead and have the whole thing removed next month.

    My only symptoms are trouble swallowing, raspy voice and clearing my throat.

    I really recommend a teaching hospital if you can possibly get to one.

    Wow - I didn't realize how much I rambled! Good luck!

     
    Old 03-10-2010, 07:04 PM   #10
    Followell
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    Re: Enlarged thyroid

    Thanks, Mamei!

     
    Old 09-17-2011, 09:07 AM   #11
    ThirstyMagnolia
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    Re: Enlarged thyroid

    Quote:
    Originally Posted by mskmal View Post
    Mainla,
    I am seeing Dr. Perrier this month. How are you doing? How did everything go?
    I too am seeing Dr. Perrier next month for a parathyroid adenoma. Wondering how your experience was with her and MD Anderson. Thanks in advance.

     
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