Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Endocrine issues Hello, Doctor: Our family has a history of diabetes and thyroid nodules, but I seem to be the unluckiest one. After undergoing thyroid cancer surgery, I have been taking thyroid hormone (levothyroxine), which causes my heart rate to be consistently between 110 an...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you described, it is indeed necessary to conduct a detailed examination of the thyroid. I recommend visiting the endocrinology department at a major hospital. You can refer to the outpatient schedule to find a physician who specializes in thyroid dis...[Read More] Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Understanding Thyroid Nodules: Risks, Diagnosis, and Treatment Options
Questions about thyroid nodules? Hello, doctor. Recently, my company conducted a health check and found an abnormal low-density nodule in the right lobe of my thyroid (1.4 cm). I would like to ask, what is a low-density nodule? Is there a high probability of it being malignant? I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the term "low-density nodule" should be translated as "hypoechoic." This means that on ultrasound, there is a region that reflects sound waves differently, appearing darker. However, based solely on this ultrasound description...[Read More] Understanding Thyroid Nodules: Risks, Diagnosis, and Treatment Options
Understanding Thyroid Issues: Early Detection and Family Risks
Thyroid issues Hello, Doctor. Recently, my mother underwent surgery for bilateral thyroid enlargement. The ultrasound-guided fine needle aspiration report indicated benign results, but for safety reasons, the entire thyroid was removed. However, the postoperative biopsy revealed ...
Dr. Lin Jianliang Reply:
Hello, it is advisable to continue monitoring. Thank you.[Read More] Understanding Thyroid Issues: Early Detection and Family Risks
Understanding Hyperthyroidism: Test Results and Treatment Options
Hyperthyroidism At the Taipei Hospital of the Ministry of Health and Welfare, the thyroid examination results are as follows: 1. Test Name Test Value Reference Range Result Anti-TPO Ab 1.450 0~5.61 IU/mL Nor...
Dr. Xiao Yongxun Reply:
Dear Mr. A-Kuo: Based on the values you provided: - Anti-TPO Ab: 1.450 (Reference range: 0–5.61 IU/mL) - Anti-Tg Ab (ATA): 4.380 (Reference range: 0–4.11 IU/mL) - Free T4: 1.520 (Reference range: 0.7–1.48 ng/dL) - TSH: <0.0025 (Reference range: 0.35–4.94 µIU/mL) - T3: 2....[Read More] Understanding Hyperthyroidism: Test Results and Treatment Options
Can Eltroxin Medication Cause Hyperthyroidism After Thyroid Surgery?
After taking ELTROXIN, blood tests indicated that the patient has hyperthyroidism? Hello doctor, I had thyroid nodule surgery 10 years ago, and since then, I have undergone annual ultrasound examinations to monitor for any new nodules. In June of this year, an ultrasound revealed...
Dr. Gao Jiankai Reply:
Hello Ms. Chang, thank you for your question. I am a rheumatologist, so I can only provide a general response. For a more precise explanation and treatment, please consult an endocrinologist. Eltroxin is a synthetic thyroid hormone, so taking this medication can indeed result in ...[Read More] Can Eltroxin Medication Cause Hyperthyroidism After Thyroid Surgery?
Thyroid Tumors: Understanding Surgical Options and Lifelong Medication
Thyroid tumor Dear Director: At A Hospital, a biopsy was performed on both thyroid nodules, with the right side measuring 1.3 cm and the left side 0.85 cm. The physician informed me that after total thyroidectomy, lifelong medication would be necessary. At B Hospital, a biopsy sh...
Dr. Xiao Yongxun Reply:
Dear Miss Ping An, 1. Papillary carcinoma is the most common type of malignant thyroid tumor, predominantly occurring in young women. It typically presents with an irregular shape, and the tumor cells are arranged in a papillary pattern. Characteristic nuclear changes include gr...[Read More] Thyroid Tumors: Understanding Surgical Options and Lifelong Medication
Understanding Thyroid Tumors: Insights on Surgery and Follow-Up Care
Thyroid tumor Hello, doctor. I have a nodule on my right side that has been monitored and aspirated, both results indicating it is benign. I found it bothersome, so I opted for surgical intervention. The doctor performed a unilateral total thyroidectomy to remove the tumor (nodul...
Dr. Xiao Yongxun Reply:
Dear Ms. Shine: 1. If a thyroid nodule appears hard and is accompanied by cervical lymphadenopathy, malignant transformation should be considered. If a long-standing goiter suddenly enlarges rapidly, accompanied by localized skin redness and fever, differentiated thyroid carcino...[Read More] Understanding Thyroid Tumors: Insights on Surgery and Follow-Up Care
Long-Term Effects of Thyroxine on Normal Thyroid Function
Thyroid tumor I have a 1 cm tumor on my thyroid, and the doctor prescribed Levothyroxine Sodium 100 mcg/tablet, to take half a tablet daily. My thyroid function is normal. Will taking this medication long-term lead to thyroid resistance or hypothyroidism? Thank you.
Dr. Xiao Yongxun Reply:
Dear Ms. Wang: 1. The diagnosis of thyroid nodules typically involves the use of thyroid ultrasound and fine-needle aspiration cytology, with regular monitoring of size changes as needed. Surgical intervention or radiation therapy may be required if necessary. Most thyroid nodul...[Read More] Long-Term Effects of Thyroxine on Normal Thyroid Function
Post-Thyroidectomy Complications: Managing Symptoms and Treatment Options
Complications after total thyroidectomy? Hello, Director Hsiao! My mother (75 years old, 155 cm tall, 45 kg) underwent surgery for a right thyroid nodule on March 24 of this year (she had surgery on the left side for a nodule over a decade ago). She is now without thyroid functio...
Dr. Xiao Yongxun Reply:
Dear Mr. Hsiao Tsai: 1. Eltroxin® Tablets are available in different dosages of 50 mcg and 100 mcg, primarily used for thyroid hormone replacement therapy, which may be necessary in cases of hypothyroidism or post-thyroidectomy. Generally, the therapeutic effects and symptom imp...[Read More] Post-Thyroidectomy Complications: Managing Symptoms and Treatment Options
Understanding Thyroid Nodules: Connections to Past Tumors and Health Issues
Tumors have been a constant concern for me? Hello, Doctor. Recently, my mother discovered she has a thyroid nodule and needs surgery. While arranging for her hospitalization after the New Year, the doctor mentioned that my neck seemed a bit abnormal and scheduled blood tests and ...
Dr. Gao Jiankai Reply:
Hello, I hope this message finds you well. The correlation between tumors from 2002 and 2011 and psychiatric medications should be very low; if necessary, you may want to consult your psychiatrist. Regarding thyroid issues, further investigation is needed to determine if there is...[Read More] Understanding Thyroid Nodules: Connections to Past Tumors and Health Issues
Understanding Thyroid Nodules: Causes, Concerns, and Management
Thyroid nodule Three months ago, during a health check-up, a lump was found in my neck. I was referred to a physician at Tri-Service General Hospital who diagnosed it as a thyroid goiter. The lump feels somewhat soft and is not painful. No further ultrasound or biopsy was perform...
Dr. Gao Jiankai Reply:
Dear Mr. Chia-Chi, Thank you for your email, and I apologize for the delayed response due to the New Year holiday. It is quite challenging to assess whether a thyroid enlargement is due to inflammation or a tumor solely by palpation. If necessary, ultrasound-guided sampling is t...[Read More] Understanding Thyroid Nodules: Causes, Concerns, and Management
Do Thyroid Nodules in Mothers Increase Genetic Risk for Children?
Is it hereditary? Is there a possibility of hereditary transmission if a mother has thyroid nodules? Additionally, how often and what type of examinations should her children undergo? Thank you.
Dr. Xie Rongyuan Reply:
Hello: (1) There is a partial relationship with family genetics. (2) Additionally, exposure to radiation in the head and neck area is also related. Thank you for your message![Read More] Do Thyroid Nodules in Mothers Increase Genetic Risk for Children?
Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Post-operative care considerations after stage II thyroid surgery? I went to the hospital for an examination due to swelling in my neck. Initially, the biopsy report indicated that the thyroid nodule was benign, but since it was 3.5 cm, I was scheduled for a total left thyroidect...
Dr. Xiao Yongxun Reply:
1. The surgeon diagnosed a 3.5 cm thyroid nodule, and despite the fine needle aspiration cytology indicating a benign tumor, he decided to perform a left lobectomy due to the tumor's size or other imaging evidence. The pathological report confirmed it was a follicular thyroi...[Read More] Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Understanding Thyroid Enlargement: Concerns and Solutions
Goiter Hello, doctor! I have had an enlarged thyroid for a long time... since kindergarten or elementary school, and it is still enlarged now! I don't feel any discomfort. However, many people keep saying that this is abnormal and that I should see a doctor! I have seen doct...
Dr. Xiao Yongxun Reply:
In general, there are many causes of goiter, commonly including hyperthyroidism, hypothyroidism, thyroiditis, thyroid nodules, and a small percentage of thyroid tumors. Clinically, in addition to symptoms and physical examination, blood tests, ultrasound examinations, or other im...[Read More] Understanding Thyroid Enlargement: Concerns and Solutions
Thyroid Nodules: Surgical Options and Family History Considerations
Thyroid nodule Recently, a thyroid ultrasound revealed a 0.6 cm nodule on the right side and an unclear 0.8 cm shadow on the left side. Due to a family history of papillary thyroid carcinoma, if a fine needle aspiration biopsy is performed, regardless of the results, 1. Given the...
Dr. Cai Zonglin Reply:
Generally, thyroid nodules larger than 1 centimeter are considered for fine needle aspiration biopsy. If the nodule is smaller than 1 centimeter but shows multiple microcalcifications on ultrasound, a biopsy may also be considered. If the pathology results from the biopsy indicat...[Read More] Thyroid Nodules: Surgical Options and Family History Considerations
Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Thyroid issues? Hello Dr. Yang, I have a hard lump in my neck. I had it checked two years ago (the doctor inserted a needle into my neck to extract material from the lump), and the doctor said I only need to follow up every six months. However, I am still worried because my gran...
Dr. Yang Hongzhi Reply:
Most patients with thyroid nodules have normal thyroid function. Weight loss is one of the manifestations of hyperthyroidism, and it occurs in only a small number of patients with thyroid nodules. Blood tests are necessary to confirm this. Generally, the effectiveness of medicati...[Read More] Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Sudden Bruising and Rash: Understanding Your Symptoms and Next Steps
Sudden bruising on the hand and a rash on the neck? Hello, Dr. Tseng. This month, I've been experiencing intermittent rashes on the back of my neck. Today, the rash seems to have gotten larger. Yesterday, I suddenly noticed a bruise about 1.5 cm on my palm without any impact...
Dr. Zeng Guosen Reply:
Based on the description from netizens, the rash on the neck, bruising, and thyroid nodule surgery may have a causal relationship. However, it is difficult to fully understand the symptoms of the rash and bruising as described. It is recommended to consult a dermatologist for exa...[Read More] Sudden Bruising and Rash: Understanding Your Symptoms and Next Steps
Managing Thyroid Issues: Concerns and Questions for Parents
Thyroid issues My daughter, who is currently in the ninth grade, previously had some swelling in her neck. After visiting an endocrinologist, it was discovered that she has no thyroid gland on one side. The doctor prescribed Eltroxin (levothyroxine) for treatment, which she has b...
Dr. Yang Hongzhi Reply:
The treatment of thyroid nodules with thyroid hormones aims to suppress their growth, but the effectiveness is not very significant, and it is not necessarily required. Whether the symptoms experienced in the past are related to the thyroid depends on the thyroid function measure...[Read More] Managing Thyroid Issues: Concerns and Questions for Parents
Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?
Postoperative follow-up after thyroid surgery? Hello, doctor. I have had a benign tumor on my right thyroid for ten years. I underwent fine needle aspiration at Linkou Chang Gung Memorial Hospital for monitoring every year, and it was confirmed to be benign. Later, I heard that m...
Dr. Yang Hongzhi Reply:
After thyroid surgery, some patients may develop hypothyroidism; however, if only one side of the thyroid is removed, the likelihood of developing hypothyroidism in the future is low. It is not necessary to actively monitor this, but testing should be conducted if there are any s...[Read More] Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?
Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns
Hyperthyroidism with vitiligo? Hello, I have been undergoing treatment for hyperthyroidism for about three months now. Currently, my medication regimen includes: two tablets of antithyroid medication in the morning and evening, and one tablet of a heart rate control medication in...
Dr. Yang Hongzhi Reply:
Hello: Vitiligo and hyperthyroidism are often associated with autoimmune reactions, but vitiligo is not caused by hyperthyroidism, and it is not expected that vitiligo will resolve after the treatment of hyperthyroidism. Interferon treatment for hepatitis C can sometimes lead to ...[Read More] Managing Hyperthyroidism and Vitiligo: Key Questions and Concerns