Total Thyroidectomy

Total thyroidectomy is a procedure involving the entire removal of the thyroid gland. It takes around three to four hours to perform it. First, a small incision is made in the front of the neck to remove the thyroid gland by visualizing other structures around the thyroid gland. After doing this surgery, thyroid hormone replacement has to be taken for a lifetime. It is done in case of thyroid cancer, a noncancerous enlargement of the thyroid, overactive thyroid, and indeterminate thyroid nodules.

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I have Hashimoto's disease and was advised of a total thyroidectomy. Can my situation be managed with medications without opting for surgery?

Query: Hello, I am a 26-year-old female with hypothyroidism and was recently recommended a total thyroidectomy by my doctor, and I am not sure if it is the best decision. I was diagnosed with hypothyroidism at the of age 12 (autoimmune Hashimoto's) and have been taking Euthyrox (Levothyroxine) daily ever...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I know it is a difficult decision for you to take but it is in your best interests as the cells show distinguishable micro follicle residues with oncocytic epithelia, which means they have malignant potential before it gets out of control and goes undetected and sp...  Read Full »

I have been diagnosed with benign multinodular goiter. How to manage it?

Query: Hi doctor, I have been recently diagnosed with multinodular goiter and have done FNAC, which turned to be benign. Is there any other way to get rid of the enlargement of the goiter and the nodules? My thyroid is full of them ranging from 0.5 to 0.9 mm. What should I do? I feel lost, and I have a con...  Read Full »

Dr. Swaraj Waddankeri

Answer: Hi, Welcome to Can I see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness?   Read Full »

Do I need to be concerned about a slightly high free T4 level?

Query: Hi doctor, I am a 59 year old male in generally excellent health. I am 5.10 feet tall and weighs 170 pounds. I am very fit for my age. I just had an annual physical and laboratory work, and it was generally excellent. I had a complete thyroidectomy before nine years due to several large but benign c...  Read Full »

Dr. Swaraj Waddankeri

Answer: Hi, Welcome to I do not think that you should be concerned. For the free T4 to get high and cause worried your TSH (thyroid stimulating hormone) should get suppressed, which is not the case with you. I would suggest you keep the same dose and repeat TSH and free T4 after two months. Sti...  Read Full »

Is adenoma related to thyroid cancer?

Query: Hello doctor, Before 20 years I had total thyroidectomy for follicular and papillary thyroid cancer. I also had three surgeries to remove benign lymph nodes. My levels had been pretty steady until the last one and a half year. I am post menopausal. I am now with the highest TSH value of 13.1. I did ...  Read Full »

Dr. Geetha Priyadarsini Kamminana

Answer: Hi, Welcome to Following total thyroidectomy, you will be kept on lifelong thyroid replacement therapy and if the therapy is inadequate TSH levels will rise. As long-term monitoring and to check the recurrence, the measurement of thyroid-stimulating hormone (TSH), thyroglobulin and anti...  Read Full »

I have been suggested to undergo a complete thyroidectomy over radioactive iodine therapy for my multinodular goitre. How should I proceed?

Query: Hi doctor, I have a 5 cm cold nodule, multinodular toxic goiter, which is not cancerous. However, it has been suggested to have a complete thyroidectomy because the cold nodule will not take up radioactive iodine treatment. I am somewhat nervous about having my entire thyroid removed. What is your o...  Read Full »

Dr. Hafiz Muhammad Hassan Shoukat

Answer: Hi, Welcome to I would strongly advise going for a complete thyroidectomy instead of a radioactive one. As you already know, radioactive iodine will not be taken up by different nodules evenly due to different activities. It will create a mess, partially destroying the thyroid, and th...  Read Full »

I am afraid Levothyroxine, when taken lifelong, can interfere with my pregnancy and reduce my lifespan. Please advise.

Query: Hi doctor, I am actually afraid of the side effect of the medicine that I take the whole time during my lifespan. I weigh 54 kg, and my BP and sugar are normal. Two years ago, I had a nodule in the left lobe of the thyroid gland. After FNAC, it was suspicious follicular adenoma. My doctor did a tota...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to I thoroughly read your query and understand your concern. It is nice to have self-concern but be positive. Do not be anxious. Follow all precautions, necessary advice, and treatment, whatever is suggested by your doctor. It is better to have strict control over your thyro...  Read Full »

Why do I feel tired, have insomnia, and weight gain after getting thyroid glands removed?

Query: Hello doctor, I had both my thyroid glands removed eight years ago, and a small amount was left (in the size of half of my small nail). Since then, I am getting my blood test done every year, which comes back normal. I do not understand this as everybody needs two thyroid glands to work properly, an...  Read Full »

Dr. Divakara. P

Answer: Hello, Welcome to It is not the size of the thyroid gland, but it is the function that matters. In most of the thyroid gland removal, the left over gland will start hyper functioning and hence will take over the body function. So, if your blood work is normal means that a small part...  Read Full »

My friend got her thyroid gland removed. Are there any side effects of taking Levothyroxine?

Query: Hello doctor, My friend had gotten her thyroid gland removed due to a suspicious follicular adenoma. However, no cancer was found in the biopsy after the surgery. I have a few questions regarding her health issues. What are the side effects of consuming synthetic Levothyroxine for the whole life on ...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I went through your query and understood your concern. For the metabolic functions of the body, thyroid hormone is needed. As she has no thyroid gland, thyroid hormone supplements will do the needful. So she has been prescribed Levothyroxine. The dose of the tablet ...  Read Full »

Why are there muscle cramps after having had total thyroidectomy?

Query: Hello doctor, I had a total thyroidectomy three months ago. I have been on 100 mcg of Levothyroxine since day one. I always feel cold, my body hair sheds more than normal, muscle cramps occur fairly easily, and low energy levels. I have had Graves disease in the past. My most recent blood work sho...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query, and from what you have mentioned, you have a well-controlled thyroid function test. Considering the hair fall and muscle cramps, I suggest you have your vitamin D level tested. I suggest you take the tablet Neurobion Forte (multivitamin) twi...  Read Full »

My wife's left vocal cord was paralyzed after undergoing a hemithyroidectomy. Can she safely undergo a total thyroidectomy?

Query: Hello doctor,My wife underwent a hemithyroidectomy four weeks ago. The pathology report stated that she has follicular cancer, encapsulated with angioinvasion. Now her left vocal cord is paralyzed. How common is vocal cord paralysis four weeks after surgery? Can she undergo total thyroidectomy even ...  Read Full »

Dr. Thiyagarajan. T

Answer: Hello, Welcome to Did the pathology report state how many vessels are involved? What is the size of the tumor? More than 50 % will resolve within six months. Please consult an ENT (ear, nose, and throat) surgeon. Yes, she can undergo total thyroidectomy even after vocal cord paralysis. ...  Read Full »

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