Partial Nodule Removal Possible in Multi Nodular Thyroid?

[MissyMissyMissy]

Hi, I have been newly diagnosed with two large nodules (1.6 x 1.4 and 2.3 x 2.2) lower mid pole on either side of my multi nodule thyroid, the one on the right has been given a TI-RADS score of 5, meaning it’s extremely likely unconfirmed cancer. This was from the ultra sound scan on my neck. I don’t want to do the FNA at the moment.

All nodules appear solid and mildly hypoechoic.

My question is can they do a partial cut out on both sides of the Thyroid, leaving what’s left? My Thyroid functions well and I have a low TSH.

I have read all the terrible stories about trying to medicate with T4 and T3 tThyroid meds afterwards I’m very concerned about this.

Although in saying this if it all looks cancerous it can’t possibly stay.

No other symptoms except I’ve had a goitre for about 20 years and thought I should get it checked as it was enlarged.. I am 42, with school aged kids.

My operation is scheduled for next month. I am waiting on a response from my surgeon. Any other questions I should ask her?

Any help or comments/tips on any of the above would be very much appreciated, thanks in advance.

Kind regards

[PurpleNails Administrator]

US & EU use Similar Thyroid Imaging Reporting and Data System. UK has a different name for classification U1-5.

I think surgeons remove either the lobe, or entire thyroid not portions. It might be an easier method surgically that way. It might be that it is dangerous to the vasculature to section parts of the thyroid. Your surgeon can explain if that’s the case.

Do you have any thyroid function results? You need TSH, FT4, FT3. Ideally thyroid Antibodies (TPO & TGab) and key nutrients, B12, Ferritin, folate, vitamin D.

A low TSH eg around 1 is healthy but very low or below range TSH usually means your thyroid levels are high.

The more concerning nodules do not function & are cold. But nodules can also hyper function so full thyroid function is important to know.

[MissyMissyMissy in reply to PurpleNails]

Thank you very much, you’ve been so helpful. No I didn’t have most of those Thyroid Function tests you mentioned so I found someone who would test for everything you mentioned, I paid for it privately and now awaiting the results.

Again, thankyou for your kindness.

Kind regards

[Batty1]

You should have a FNB before you do any type of thyroid surgery along with a complete thyroid panel (just my opinion).

I had thyroidectomy in 2016 for pap cancer and YES it hasn’t been easy but honestly reading other’s nightmare experiences after thyroidectomy should never make you feel like their health problems after surgery will be the same as yours, its much more complicated then that.

[MissyMissyMissy in reply to Batty1]

Thankyou, I really appreciated your thoughts. I will be getting it out completely. Worried, but hopeful. Thank you again.