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Suggest Treatment For Graves Disease
Hi I am a 34 year old female who has just been diagnosed with Graves Disease. Im looking over my Throid US and am so confused with the terms. Here are some of my blood results and the US results. Thank you for any help!! US: the right lobe measures 6.7x3.1x3.3 cm and the left lobe measures 5.8x2.6x2.2 cm. The isthmus measures 0.92 cm. the thyroid glad is increased in size and heterogeneous in texture. Diffusely increased vascularity of the thyroid. Hypoechoic 1.6 cm nodule with the superior left thyroid. Blood Work: TSH 0.02 T3 5.61 T4 4.89 I am so confused and don t even know what the proper questions i should ask!
Wed, 30 Mar 2016
Hello,
Welcome at HCM! I carefully read your report and i think i can give you some information in order to clarify your confusion.
From the exams you reported, there results to be two problems with the thyroid gland;
-Graves' disease
-Nodule at the left lobe
These are two different pathologies. Graves' disease has an autoimmune etiology and affects the whole gland, the nodule at the left lobe should be examined further.
If you were a patient at my clinic i would suggest you to do a scintiscan of the thyroid gland (pregnancy should be ruled out before), in order to decide if the nodule is cold or not. For the cold nodule the next step would be the biopsy with fine needle aspiration to rule out a malignant pathology (6% of probability).
The diagnosis of Graves' disease should be confirmed by positive antireceptor antibodies.
You may discuss with your doctor the above mentioned examinations and after the result decide for the treatment.
Kind regards,
Dr.M.guni
Welcome at HCM! I carefully read your report and i think i can give you some information in order to clarify your confusion.
From the exams you reported, there results to be two problems with the thyroid gland;
-Graves' disease
-Nodule at the left lobe
These are two different pathologies. Graves' disease has an autoimmune etiology and affects the whole gland, the nodule at the left lobe should be examined further.
If you were a patient at my clinic i would suggest you to do a scintiscan of the thyroid gland (pregnancy should be ruled out before), in order to decide if the nodule is cold or not. For the cold nodule the next step would be the biopsy with fine needle aspiration to rule out a malignant pathology (6% of probability).
The diagnosis of Graves' disease should be confirmed by positive antireceptor antibodies.
You may discuss with your doctor the above mentioned examinations and after the result decide for the treatment.
Kind regards,
Dr.M.guni
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