Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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hi, below is my u/sound reading.  i was on antithyroid meds for overactive readings from Oct 2011, but reacted to them so not on any at all now but no symptoms except weight gain!!? thought i should lose it not put it on? Also readings seem to be coming down anyway without meds? -  Family history includes-My uncle died of thyroid cancer, my dad is under active and my aunt n cousins have had thyroids removed. Waiting to see an endo next week. Just wonder if you might have any idea what he'll suggest? i can't tolerate meds and not to excited about the prospect of rai either?!

Oct 2011:
TSH  0.01
Free T4 27.8

Dec 2011:
TSH 0.01
FREE T4 23.0
FREE T3 4.6

March 2012:
TSH ,0.01
FREE T4 12.5
FREE T 3 4.0

US March 2012:
Mildly heterogeneous echo pattern of the thyroid.  Right lobe minor enlarged.  Multiple echogenic nodules with hypoechoic borders are present in the right thyroid lobe the larger measuring 1.23 x 1.4cm.  Vague ring calcification of  one of the nodules. No increased Doppler vascularity.  No nodules identified in left thyroid.  
Remark:
Multinodular right thyroid lobe with an appearance of adenomas,
FNA of the larger nodule suggested.

Would appreciate any insight into above.  Thank you
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It may be worthwhile having an I-123 nuclear scan to determine if the nodules are hot or cold.  If there is a cold nodule been biopsy would be indicated to rule out cancer.  If this is a toxic nodular thyroid then treatment is typically surgery or radioactive iodine.  Also would screen for Graves' disease with a TSI if not already done..  If this is Graves' disease then typically we start with anti-thyroid drugs but in situations where there is a reaction, surgery or radio active iodine as a backup.  At this point you have only mild elevation in T4 and T3, therefore getting additional information and possible econd opinion may be worthwhile before proceeding with definitive therapy.
5 Comments
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anyone any ideas please?!
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thank you for info.  Am seeing endo on Weds so hopefully willl be more informed by then. thanks again for your time and advice.
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Hi, just me again! was wondering if nodules are cancerous would i be losing weight, and , because i'm not would this be a good indicator that they are not malignant/
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97953_tn?1193367871
No - in most cases, weight change is not a prediction for/against thyroid cancer
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97953_tn?1193367871
Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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