Thyroid UK
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Graves disease and surgery for lump

Hi there I have been diagnosed with graves disease a couple of weeks ago. I also have a lump on one side of my thyroid and need surgery. The histology is thy3 so I am worried. Surgeon has suggested either hemithyroidectory or total thyroidectomy. I will therefore be hypo if I have total thyroidectomy. If not I could be looking at further surgery if block & replace doesn't work (won't consider R iodine as I don't want to be away from kids). Also really worried I have thyroid cancel which will override any treatment choices anyway. Really confused. Any advice appreciated.

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If you have hemithyroidectomy and the tumour is malignant it will depend on the type or cancer, size of tumour, and your age whether or not you require completion thyroidectomy. If it is Papillary cancer you probably won't need completion thyroidectomy. If B&R doesn't work you can either resume B&R or opt for surgery or RAI.

Several members have had 2 or 3 Thy3 and after hemi it turned out that the tumour was benign.

I had hemi to remove a thy3 nodule which turned out to be malignant. Risk factors were high so I had completion thyroidectomy 3 months later, followed by radioactive iodine ablation.

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