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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Thyroidectomy. On Oroxine. Reduced Dosage. Possiblity Of Residual Tissues After Removal And Taking Off Medication?

I had a total thyroidectomy 17years ago and have been on Oroxine ever since. In the last 18months my dosage as been reduced down to 75mcg per week and it has to be checked again in 2 months. My questions are 1) is it possible to leave some tissue behind during removal 2) is it possible that the remaining tissue can spontaneously start functioning again after 15years 3) If I am taken off the medication completely and it stops working again how long will it be before I start seeing symptoms and what would they be?
Thu, 30 May 2013
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Endocrinologist 's  Response
Hi

To say whether residual tissue remains after surgery would depends on the type of initial surgery performed. For a Total thyroidectomy, residual thyroid tissue is generally not seen. However, for near total or subtotal thyroidectomy residual thyroid function may be seen. To check residual thyroid function I would advice these two tests

1. Serum thyroglobulin levels
2. USG of thyroid

Whether you would be taken off medications or not is subjective and difficult to say, however I would advice you to get done routine thyroid function tests atleast every 6 months

Regards
Dr. Om Lakhani.
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History Of Thyroidectomy. On Oroxine. Reduced Dosage. Possiblity Of Residual Tissues After Removal And Taking Off Medication?

Hi To say whether residual tissue remains after surgery would depends on the type of initial surgery performed. For a Total thyroidectomy, residual thyroid tissue is generally not seen. However, for near total or subtotal thyroidectomy residual thyroid function may be seen. To check residual thyroid function I would advice these two tests 1. Serum thyroglobulin levels 2. USG of thyroid Whether you would be taken off medications or not is subjective and difficult to say, however I would advice you to get done routine thyroid function tests atleast every 6 months Regards Dr. Om Lakhani.