Looking for answers before surgery

[At The End of My Rope]

I see people provide you with there your blood work results so I have pulled my out just to get some feed back. As, when the doctor mentioned thyroidist the other day, I thought that showed in your blood work.

T4,Free 1.3
TSH 0.74
THY Peroxidase 30
Vitamin D3 16 which she has me on 1000mg daily of Vitamin D and it is now up to 78

Also, I am having a TT on June 5th the surgeon told me the another on my pre-op to be prepared for a TT not a partial, either way i would be taking thyroid medicine afterwards. My FNA showed a few groups of follicular but inconclusive. Is this normal. I do have a family history of thyroid problems, grandmother (goiter) father (thyroid uncertain ) and the clinical findings the doctor said the only way to be certain this is not cancer was removal.

Any information would be greatly appreciate.

[Mark Lupo, M.D.]

I was out of town until 6/10 so just now am reading this question.

An inconclusive (indeterminant) FNA is often best treated with at least a partial thyroidectomy to make a definite diagnosis.  If cancer, a total is needed.

The Peroxidase antibody of 30 may suggest Hashimoto's but it depends on the normal range for the lab used.

With the low vitamin D -- ask to have celiac sprue antibodies tested.

Hope that is helpful.

[Amanda7980]

Biopsies are wonderful, but they don't always tell you everything.  I had follicular thyroid cancer in 2001.  The FNA showed inconclusive cells as did the frozen section during surgery.  Only the final pathology report could finally diagnose me.  I am glad they went ahead and took the whole thing out anyway during th first surgery.  That way I didn't have to do it again.  I've been on synthroid ever since and have had NO problems.  I know some people experience problems after removal, I never had.  Good luck.

[Peonie]

I don't know a lot about this, but I would definitly find someone who would do a biopsy first. It is a big thing to lose your thyroid gland, huge! Being on medication isn't as easy as it sounds. I had my thyroid ablated in 1997 and wish I had done more research before I had this procedure.

If I overextend myself on any given day I usually pay for it the next day and sometimes for two days. I am totally exhausted because I have used up all or most of my thyroid hormone. Sometimes it just seems that you can never get your levels quite right. Another example is my mother's experience. As children, my sister and I could always tell when she hadn't taken her thyroid because she would become very irritable.

Please have a biopsy done before you let a doctor remove your thyroid gland.

[At The End of My Rope]

I have had a FNA done this is why we are doing the surgery...It showed a few follicular groups of cell undetermined...