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Post thyroidectomy for Papillary and worried about recent blood work

Thank you in advance for your time,

I'm a 34 yo f.  I had a total thyroidectomy for papillary carcinoma stage t1 on May 20th, 2010 and have been taking 100mcg of levoxyl daily.  I was told by my surgeon, oncologist and my endocrinologist that I was clear and okay to try to conceive since they were certain the cancer was likely gone due to it's small size and they didn't believe I needed any radio active treatments.  My most recent blood results taken on 6/10/10 were faxed to me today from the lab and show the following results......

T4 - 7.9
T4 index - 2.6
T3 - 33
QN Thyroglobulin w/o TGAB - 34.6
TSH - 12.8 on 6/10/10 and was 1.32 on 3/9/10(before surgery)
LDL - 121 on 6/10/10 and was 111 on 3/9/10(before surgery)

Based on these numbers, should my husband and I stop trying to conceive?  Do these numbers indicate that the cancer is still present and I will likely need radioactive treatment?  I'm worried.  Physically I feel good most days but I do occasionally have a day or two a week when I'm completely drained of energy.

Thank you,

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97953 tn?1440865392
The TG level seems high for 5 weeks post total thyroidectomy.  However, would like to have seen TG-Antibodies which should always be run anytime a quantitative TG is performed.  IF positive antibodies, the TG is hard to interpret.

Assuming negative antibodies, the first thing would be a good neck ultrasound to assess remaining tissue.  The fact that the TSH went up (even w/ 100mcg of T4) means the thyroid tissue should be minimal.

Certainly need to delay conception until TSH is in better range (0.2-1.0 most likely w/ this history).  But talk to the docs about the TG, get a TG-panel (TG and Antibody) and a good neck ultrasound (by MD) to re-assess.

In many cases, it is hard to know if RAI will be needed until we monitor the trend over time.
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Avatar universal
Thank you so very much for your quick response and advice.  I will take action on it first thing tomorrow.

Much appreciated,

Helpful - 0

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