LASIK Surgery Health Chat: Tuesday, December 15th 5:00-6:00 PM Eastern. Free live Q&A with Dr. Omar E Awad. Ask your question in advance!
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)
Please help!
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.
Please help!
by Shari4, Jun 23, 2008 12:42PM
Dear Dr. Lupo:
After my annual physical, my blood test came back with a TSH level of 0.085. I was sent to an Endo. I had a RAI Thyroid Scan. It came back normal. Then I had a thyroid sonogram, which revealed a multinodular goiter. I asked about the fine needle biopsy, and the endo said no. My nodules were sub-centimeters. The endo says I am HYPER, yet her report (she interpreted it - not a radiologist) said I have Hashi's thyroiditis. I am only on Inderal for the mild hyper symptoms I have. I guess size is key in getting a FNB?
TSH, 3rd generation 0.01 Low
T4 Free 1.7 Normal (although I see the range is 0.8-1.8; is this high normal?)
T3 Free 462 High (scale says 230-420)
Thyroid Peroxidase AB (this is TPO, correct?) <10 normal
Thyroglobulin AB <20.0 Normal
I am so frightened - should I be doing something else other than taking 10mg Inderal three times a day? Is it okay NOT to have a FNB? The only other thing scheduled is another blood test in mid-July. Thank you so much for your help!!
After my annual physical, my blood test came back with a TSH level of 0.085. I was sent to an Endo. I had a RAI Thyroid Scan. It came back normal. Then I had a thyroid sonogram, which revealed a multinodular goiter. I asked about the fine needle biopsy, and the endo said no. My nodules were sub-centimeters. The endo says I am HYPER, yet her report (she interpreted it - not a radiologist) said I have Hashi's thyroiditis. I am only on Inderal for the mild hyper symptoms I have. I guess size is key in getting a FNB?
TSH, 3rd generation 0.01 Low
T4 Free 1.7 Normal (although I see the range is 0.8-1.8; is this high normal?)
T3 Free 462 High (scale says 230-420)
Thyroid Peroxidase AB (this is TPO, correct?) <10 normal
Thyroglobulin AB <20.0 Normal
I am so frightened - should I be doing something else other than taking 10mg Inderal three times a day? Is it okay NOT to have a FNB? The only other thing scheduled is another blood test in mid-July. Thank you so much for your help!!
Doctor's Answer
by Mark Lupo, M.D., Jun 25, 2008 06:20AM
, Jun 25, 2008 06:20AM
No evidence of hashimoto's based on what you desrcibe. This may be Graves disease - -would consider asking for a TSI level (also TBII may be helpful). You have hyperthyroidism. The inderal is helpful and appropriate if you have an elevated heart rate or tremor. Sub-centimeter nodules usually do not require FNA biopsy. Repeating the levels in a few weeks is reasonable -- if the T4 and T3 elevate, this would be further evidence of Graves and then specific treatment options need to be discussed (ie, RAI vs tapazole vs surgery).
