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Please Help, Thyroid Test disorder

Hi Dear Friends,

Recently I did a Thyroid medical test. My records are: T4 and T3 are above normal range (about 10%). my TSH is very low (<0.01). and also I tested my thyroglobulin. my thyroglobulin was very very low but my anti thyroglobulin was high, about 680 (normal range is max 100). and also my ESR is 5. I am really concern. what happen to my thyroid? is it hypo, hyper or hashimoto or.......?

May you please help me
14 Responses
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Avatar universal
Hi,

Do you mean my doctor is in a wrong way by running uptake scan without ultrasound test? he touched my thyroid phisically and never be suspected to another thyroid's decease. I have done just these records yet. also I am on prednisolon (corton) treatment to reduce inflammation of thyroid. in general by this record I have done by today, what are the most common type pf thyroid decease you think I may have? also in uptake scan just wrote hypo or thyroidits. also I can not realize if I am suspected to hypo in uptake, why my T4 and T3 is bit more than normal and TSH<0.01. I suppose these are sign of hyper but why uptake propose hypo?

by the way, I appreciate if you tell me what is the most probable thyroids problem I may have? my doctor think thyroidits. do you think with this test record I am suspect to Cancer that you propose me I do ultrasound?

Best Regards
Helpful - 0
Avatar universal
Hi,

Do you mean my doctor is in a wrong way by running uptake scan without ultrasound test? he touched my thyroid phisically and never be suspected to another thyroid's decease. I have done just these records yet. also I am on prednisolon (corton) treatment to reduce inflammation of thyroid. in general by this record I have done by today, what are the most common type pf thyroid decease you think I may have? also in uptake scan just wrote hypo or thyroidits. also I can not realize if I am suspected to hypo in uptake, why my T4 and T3 is bit more than normal and TSH<0.01. I suppose these are sign of hyper but why uptake propose hypo?

by the way, I appreciate if you tell me what is the most probable thyroids problem I may have? my doctor think thyroidits.

Best Regards
Helpful - 0
213044 tn?1236527460
It's hard to say without more antibody tests.

Did you get a TPOab test?
Did you get a TSI antibody test? You need a TSI test to either confirm or rule out Grave's disease.

TSI positive...Grave's Disease.
TSI negative...Hashimoto's Disease.

You need an ultrasound. It's cheap, it's easy, and it should have been done way before an uptake scan was performed.

The ultrasound is done first. The uptake scan is done if the doctor wants to find out if your nodules are hot or cold. You do not even know if you have nodules or not.

You may want a second opinion. I don't understand why they would run an uptake scan on you with no ultrasound report.
Helpful - 0
Avatar universal
what is the most possible thyroid decease you think I may have with the records I said ?also my ANA and other general antibody unless anti thryglobulin is negative .thyroiditis ? Grave or Hashimoto? my doctor believe in thyroiditis .

Thank you
Helpful - 0
Avatar universal
what is the most possible thyroid decease you think I may have with the records I said ?also my ANA and other general antibody unless anti thryglobulin is negative .thyroiditis ? Grave or Hashimoto?

Thank you
Helpful - 0
Avatar universal
what is the most common thyroid decease you think I may have? thyroiditis ? Grave or Hashimoto?

Thank you
Helpful - 0
213044 tn?1236527460
Thyroglobulin (TG) is produced by every cell in the thyroid.

The only relationship it has to cancer is this;

If your thyroid is completely removed and you have radiation therapy (RAI) to kill any remaining tissue, your TG should drop to zero. When they do follow-up tests after the cancer is killed, they measure the TG to see if there is any. If there is any TG found, that means there are thyroid cells in your body, and it is probably cancerous thyroid cells.

BUT, unless your thyroid has been completely killed you will have thyroglobulin. We all have it. The thyroid uses it to help make hormones.

I am assuming your thyroglobulin (TG) is low, because you SAID it is low.

If your's is low it is because you have antibodies (TGab) eating some of the thyroglobulin.

Tell your doctor you would like an ultrasound. They can't make proper sense of an uptake scan without having an ultrasound test run as well anyway.

So far, nothing you have written suggests cancer in any way. I think you are worrying about something that has not been looked for yet.
Helpful - 0
Avatar universal
Hi,

But My doctor did not tell me to do ultrasound. He just told me to do uptake. with my result do you think I am suspicious to Cancer? also my ANA is negative.

also you think my TG is virtually low? I know TG is produced with cancer. am I right? my doctor told me I have thyroiditis . what is your suggestion? with this result can I have cancer?

Thank you
Helpful - 0
213044 tn?1236527460
You need a thyroid ultrasound to screen you for cancer. An uptake scan, which is what you had, does not do that. An ultrasound looks at the thyroid inside and out, measures it, and detects any irregularities on the inside or the outside of the gland.

If any suspicious nodules or cysts are found, they are evaluated for the potential of being cancerous.

Your TG is low because the TGab is attacking the TG, which interferes with thyroid function.  
Helpful - 0
Avatar universal
Hi and thank you for your answer,

besides blood test, I did Radioactive test. (thyroid Scan-but without eating Iodizes). in this report stated about thyroiditis . and do not mention anything about cancer. I brought my medical test and scan for my doctor and he also mention this. he told me it is thyroiditis an give me low dose of Corton and told me after 1 month I reap my scan with 2 and 24hr absorb Iod. and I do not know why? and although my T4 and T3 is high and TSH is low can I be still suspect to Hashimoto or I am obviously Grave? I think I am supposed to be Grave because apparently my T4 and T3 is high. am I right?

But I really scare about my thyroid problem. Can it be Cancer. as I stated before my medical test exam are as follow:

TSH<0.01 (very low), T4 and T3 are about 10% above normal range. Tgb is very very low and also anti Thyroglobulin is very high (about 6 times).
Helpful - 0
Avatar universal
Hi and thank you for your answer,

besides blood test, I did Radioactive test. (thyroid Scan-but without eating Iodizes). in this report stated about thyroiditis . and do not mention anything about cancer. I brought my medical test and scan for my doctor and he also mention this. he told me it is thyroiditis an give me low dose of Corton and told me after 1 month I reap my scan with 2 and 24hr absorb Iod. and I do not know why?

But I really scare about mythyroisd problem. Can it be Cnacer. as I stated before my medical test exam are as follow:

TSH<0.01 (very low), T4 and T3 are about 10% above normal range. Tgb is very very low and also anti Thyroglobulin is very high (about 6 times).





Helpful - 0
213044 tn?1236527460
If you had an ultrasound of the thyroid it would have detected anything that looked like cancer.

Thyroiditis is infection and swelling in part(s) of the thyroid. It is common for a person with autoimmune hypothyroidism to have bouts of thyroiditis that last a short time. It often causes your thyroid hormones to swing from too low to too high for a short period, and then the hormone levels drop again as the infection clears up.
Helpful - 0
Avatar universal
Thank you,

I did scan of my thyroid, It said it can be thyroiditis. I am bit confuse and concern. I am worry about cancer. could it be cancer?

Thank you
Helpful - 0
213044 tn?1236527460
You are hyper. It will take more tests to figure out exactly WHY you are hyper.

You tested positive for TGab (antithyroglobulin). That means you have an autoimmune condition. It might be Grave's Disease (autoimmune hyperthyroidism), or you might have Hashimoto's (autoimmune hypothyroidism).

You can have autoimmune hypothyroidism and experience bouts of hyperthyroidism. That is called thyroiditis.

You need more antibody tests (TPOab and TSI) and an ultrasound of the gland to see what the physical structure looks like. Then you will have enough information to receive a diagnosis.

Best of luck.
Helpful - 0
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