Is Surgery necessary?

[Aru4Health]

Sir / Madam,

I am from India.

My friend has recently been diagnosed with thyroid problem. I have attached the medical reports. There are different view points being expressed by her consulting doctors. Some are unsure while others are suggesting surgery. No one is able to give a clear cut picture. My friend is absolutely healthy barring her Hb level which is 2 units below normal. She is non-diabetic and no other complications that are generally associated with patients of her age.

Please help, so as to help my friend take a positive decision to further course of action. In case Surgery is not required then what should she be prescribed with? What precautions she needs to take for general well being.

Thanking you

Aru

[Aru4Health]

Hi,
Nice to hear that. By seeing the test reports as mentioned above what do you think does it require surgery? Can't the growth be controlled with medicines?

[bluedogmoos]

Many people have goiters but never have the thyroid gland removed. It depends on whether there are so many goiters, and if the goiters are large and cause problems. Goiters are rarely cancer, but you must have biopsies every so often. Goiters do not go away on their own. There is no med you can take to make a goiter go away. Goiters are not removed. The entire thyroid gland would be removed. The reason that the goiter is not removed is that the thyroid gland tends to bleed, and also goiters return.

If you have your thyroid gland removed for any reason you must take meds all of your life.
Never count on a chat line for your health. You need to be followed by a doc who knows and understands goiters. Not all docs do.  

[Aru4Health]

Hi Stella,
Here is the report of the patient:

blood report
(Tests done on Random Access electro chemiluminescence system of Roche USA)

TSH:   1.8 micro IU/ml
T4:    9.6 micro gr/dL
T3:    85 ng/dl
F.T4:  1.16 ng/dl
F.T3:  2.54 P gr/ml

Cytology report

Specimen : FNAC of Thyroid swelling
Microscopic: Smears show follicular epithelial cells,few Hurthle cells and plenty of foamy macrophages against colloid mixed haemorrhagic background.

Impression: Cytological features suggestive of Adenomatous Goitre with cystic change.

Ultrasound neck

Both lobes of thyroid are mildly enlarged.
Right lobe of thyroid measured 37x13x19mm
Left lobe shows a 35x26x23mm multiloculated cystic lesion.
Bilateral neck vessels are normal in their course, calibre and flow velocities.
There is no evidence of any cervical lymphadenopathy seen.

IMPRESSION: Thyromegaly with a large multi cystic nodule in the left lobe s/o nodule with colloid degeneration.
Smaller nodules noted in the right lobe.

Please suggest

[stella5349]

I do not believe you can attach documents. I don't see how. Maybe post the tests