Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Nodules and PVC's?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
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.
Nodules and PVC's?
by DaneMom, Oct 29, 2009 01:43PM
I am a 37 y/o female who has been treated for hypothyroidism for nearly 15 years. I am currently on 175 mcg/day Levo. Recently my heart murmur (innocent) went crazy and I have had PVC's regularly despite being on Toprol XL 75 mg/day. My TSH levels are never consistent and I was just Dx'd with Hashimoto's and have two nodules on the left. One at 2cm and the other at 2.9cm, the larger shows "suspicious for follicular neoplasm" and now I will be heading for surgery. I am also in remission with my severe RA which I was dx'd with in 2005. I am wondering if the PVC's are a result of the thyroid situation, or from the Levo- as I have read that they can be caused by the drugs use. Will surgery to remove some or all of the thyroid alleviate these if they can get me regulated?
Doctor's Answer
by Mark Lupo, M.D., Oct 31, 2009 06:49AM
, Oct 31, 2009 06:49AM
PVC's are not likely due to thyroid unless the dose is too high (ie, TSH too low -- usually < 0.2).
With the nodule being "susp for FN" this means about 20% chance cancer, and surgery is needed to make the diagnosis. Usually this would be a left lobe removal, and if cancer is diagnosed, you would go back to remove the right. In some cases, the patient elects to have the whole thyroid removed at the initial surgery - particularly if you already are committed to life-long thyroid meds.
Removing the thyroid sometimes helps with regulating levels.
With the nodule being "susp for FN" this means about 20% chance cancer, and surgery is needed to make the diagnosis. Usually this would be a left lobe removal, and if cancer is diagnosed, you would go back to remove the right. In some cases, the patient elects to have the whole thyroid removed at the initial surgery - particularly if you already are committed to life-long thyroid meds.
Removing the thyroid sometimes helps with regulating levels.
Post Comment
