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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Thyroid

I've discovered this thyroid problem 6 years ago. During these past years, none of the doctors put me on thyroid medication; they all suggested surgery. On my left lobe, I have an adenoma that is 5.4x3.9x4.0cm. On my right lobe, I have an adenoma that's 1.3x1.4cm. I have lymphocitic thyroiditis (doesn't say chronic). However, I have no symptoms at all! My TSH, T3, T4 levels are normal. Only thing that's a little high is my TPoAB, which is 29. Is this considered Hashimoto's even? I've also noticed that during these past 6 years, while my left lobe keeps getting bigger, my right lobe gets smaller (though in small quantities). Would you think total or subtotal thyroidectomy is appropriate? I'm afraid that with subtotal, adenomas might grow again and would require surgery again. But I also don't want to be on thyroid medication for life. Thanks!
Mon, 27 Oct 2014
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Endocrinologist,  's  Response
Hi,

The size of the nodule > 4cm warrants surgery in you
Since you are having nodules on both lobes it is always better to do a total thyroidectomy rather than sub total thyroidectomy.

2 reasons for that : First is the concern of re growth and re-surgery years later, Second is if the surgery report comes as abnormal you have to do a completion thyroidectomy now itself.

Since your thyroid function tests is normal you dont have to be stated on thyroid medication now.

Hope I have answered your question. If you have any further questions I will be happy to help.


Regards
Dr Ajish TP
Consultant Endocrinologist
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Suggest Treatment For Thyroid

Hi, The size of the nodule 4cm warrants surgery in you Since you are having nodules on both lobes it is always better to do a total thyroidectomy rather than sub total thyroidectomy. 2 reasons for that : First is the concern of re growth and re-surgery years later, Second is if the surgery report comes as abnormal you have to do a completion thyroidectomy now itself. Since your thyroid function tests is normal you dont have to be stated on thyroid medication now. Hope I have answered your question. If you have any further questions I will be happy to help. Regards Dr Ajish TP Consultant Endocrinologist