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Thyroid malignancy.

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My girl friend has faced thyroid malignancy (tumer) problem with right thyroid enlargement from about 1.5 years and June 2013, she has to undergone an operation. Doctors remove her both thyroid even though left was ok as stated by them. On August, 2013 she take RAI treatment on AIIMS, New Delhi and revisited AIIMS Feb, 2013. Now, doctor declared with her no problem with no thyroid cell in her body. She is now taking 150 mg thyroid tablet everyday with one calcium tab.
But my parents are against her in terms of marriage telling that she will not be able to be pregnant in future or misplace her baby in future. Or she will be not able to live a complete life. Kindly reply to this uncertainty even though I am with her. Is there any problem related to her pregnancy in future?

Category: Endocrinologist

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Category: Diabetologist
 32 Doctors Online

Hello and thankyou for approaching DoctorSpring with your query.
She has been rightly treated by complete removal of the thyroid gland and RadioIodine treatment so that the tumour does not recur again.
To replace the function of the thyroid gland, she is on thyroid tablets, dose of which is adjusted as per the TSH reports.
She is as good as any other normal person when she is taking these tablets and regularly testing her thyroid function (TSH levels, once in 6mths to one year and more frequently during pregnancy).
There will be no problem in pregnancy or living a complete life with such a treatment.

You can convey this to your parents as well.

I hope this has helped. Feel free to follow up.

Patient replied :

Does thyroid problem can be passed to child in later life? Is there any possibility of re-occurrence of thyroid tumer even though RAI has completely remove all remaining thyroid cells?

No, this is not transmitted to child.

There is a chance of recurrence of tumor, but very remote, after complete surgery and radioIodine treatment. Regular follow up is required at least yearly but even if there is a recurrence, it is easily treatable fully.

Thank you

Dr. J Muthukrishnan
Category: Diabetologist
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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