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Do most women gain weight after thyroidectomy and do you recommend radio active therapy afterwards.

By Anonymous April 9, 2010 - 2:00pm
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6 cm nodule on thyroid pressing on trachea- removed and frozen section was negative but bx showed small amount papillary cancer and all lymph nodes were negative. Had thyroidectomy and back to work in three days. tsh wnl t4 wnl (on synthroid) recommened via endocrinologist to have radioactive iodine therapy.

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HERWriter Guide

Dear Anonymous

Thanks for your question and welcome!

According to our Thyroidectomy page, the following outcomes are possible:

The outcome after surgery depends on the reason for thyroidectomy.

If the thyroid was removed to treat hyperthyroidism, the following symptoms should subside:

Excessive fatigue
Weight loss
Rapid heart beat
Excessive sweating
Feeling of being hot
Menstrual cycle irregularities

If the thyroid was removed to treat a thyroid tumor, nodule, or excessive goiter, the outcomes include:

Removal of cancerous tissue from the body
Improvement in swallowing or airflow that may have been compromised by an oversized thyroid gland

Please read more on our page here: http://www.empowher.com/media/reference/thyroidectomy

With regard to your weight gain, if your medication is dosed correctly, you should not see weight gain although some people do find that they need several dosage adjustments until they find what's right for them.

As to whether we recommend radiation - many people do undergo it for any remnants of cancer left in the thyroid. Some are able to skip it completely. Do you know yet if you are completely cancer free? Even if you are, some doctors still recommend the radioactive iodine therapy.

Unfortunately we cannot recommend to anyone if they should have this procedure. That decision is for the patient, along with doctor advice and recommendations based on the patients individual outcome from surgery and their prognosis.

Anon, have you gained weight or have you been warned you may? Have you noticed a difference between before you started the synthroid and now?

I'm sorry you have had to endure this; cancer is a frightening thing. We wish you the very best for a full recovery.

April 10, 2010 - 4:29pm
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