My thyroid gland have been removed last December for I had hyperthyroidism and it's pipallary cancerous so yesterday my ultrasound discovered below the attachment please check it
FYI also my thyroglobulin is 4 and
TSH is >90mlu/mL
Antibodies thyroglobulin is 31
Please assist me
As patients we are not qualified to interpret this ultrasound. Your doctor or surgeon should have spoken to you and explained it carefully before giving you the report. If they haven't done so contact them and ask for an explanation.
Your TSH is very high and you should be on levothyroxine treatment now. They may have withheld it for the scan but you should be on treatment now. Again contact them urgently if they are not giving you levothyroxine as you will feel terrible.
Thanks dear doctor give me levothyroxine 100 started this morning
Lulymoon,
For maximum absorption Levothyroxine should be taken with water 1 hour before or 2 hours after food and drink, 2 hours away from other medication and supplements, and 4 hours away from calcium, iron, vitamin D supplements and oestrogen.
It takes 7-10 days for Levothyroxine to be absorbed before it starts working and it will take up to six weeks to feel the full impact of the dose.
You should have a follow up thyroid test 6-8 weeks after starting Levothyroxine. Arrange an early morning and fasting (water only) blood draw when TSH is highest, and take Levothyroxine after your blood draw.
Most people will find symptoms resolve after their TSH drops to around 1.0 with FT4 in the upper range but symptoms can lag a couple of months behind good biochemistry.
Lulymoon,
There is usually some thyroid remnant left post thyroidectomy. The scan doesn't identify whether the remnant in your thyroid bed is benign or malignant. Some patients with papillary cancer now have only the affected lobe removed.
TSH should be suppressed <0.1 to reduce the chance of recurrence. Your doctor should start you on Levothyroxine replacement therapy as soon as possible unless you are scheduled to have radioactive iodine ablatement soon.
Because you have some thyroid remnant you will have detectable thyroglobulin and thyroglobulin antibodies.
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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.
The 100 mcg levothyroxine will be a starter dose. You will have another blood test in a month or two and a dose adjustment. Depending on the form of cancer there are different levels of TSH suppression needed. During this process it is important to let your doctor know how you feel so that this can be taken into account.
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