Can you shed any light on the retrospective analysis that have been done looking at overtreatment of low risk patients with stage 1 papillary thyroid cancer? From different things I have been reading it seems though there has not been a big difference in removing someones whole thyroid vs just doing routine observation with ultrasound to monitor changes when you compare long term outcomes ( studies by Ito and Davies) ? It seems like there hasn't been much current research done on thyroid cancer and they have been treating they same way no matter the differences in patients and types of cancers. I realize this one day needs to be addressed if there are changes in its growth, but for me timing is tough right now. I had surgery last year to remove endometriosis to help get me pregnant. If I am not currently pregnant I was going to do IVF. I fear if I remove my perfectly functioning thyroid my hormones will be out of wack for a long time which makes it harder to get pregnant and the endometriosis could come back and I would then need surgery for that again. I am seeking many opinions in the safety of waiting to address my thyroid in a year and focus on pregnancy now. Your thoughts?
This is a big question, probably best to focus on your situation. In general, stage I patients do not benefit from radioactive iodine. If I understand correctly, you have had a biopsy showing thyroid cancer? If that is the case we would usually do thyroidectomy and then stabilize your levels with Synthroid or other brand of thyroid hormone and then move forward with pregnancy/IVF therapy. If this is a T1 or T2 tumor without lymph node involvement, radioactive iodine is not likely to be offered. While thyroid cancers tend to not to grow quickly, if we have a biopsy suggestive of cancer most experts would recommend surgery prior to moving forward with pregnancy plans.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.