Endocrine Practice 27 ( 2021) page 691-97 Schumm M. et al
- Post lobectomy TSH of 87 115 patients had TSH >2.
- Older patients should think twice about a lobectomy unless necessary.
- Pre-lobectomy TSH > 1.8 was a risk factor for post op hypothyroidism.
- 80% of the patients developed hypothyroidism post surgery.
- This study was on thyroid cancer cancer patients.
- Imagine what happens when patients with a benign suspicious nodules are rushed off to lobectomy without outside opinions.
- This paper confirms what endocrinologists always knew that lobectomy was a risk for causing not only surgical complications,a scar but thyroid hormone replacement for life.
- Do the surgeons or your primary tell you about the high risk of life time thyroid hormone replacement?
- They need to tell the patient they will need frequent visits to titrate the thyroid hormone dose post surgery for life.
- Many low risk thyroid cancers are small <1.5 cm. Consider ablation therapy with Radiofrequency RFA instead of surgery.
- Also small thyroid cancers can also be followed by Active surveillance.
- Before the surgery call me for an opinion and evaluation for ethanol and RFA.
- Call 310-393-8860 or [email protected]
- Ask for Alicia