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- Re: I'm confused......

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wrote:

> I was told that I am having all of my right lobe removed, and then 95% of the

left lobe removed. However, when I got the pre-admit paperwork it says, " Total

Bilateral Thyroidectomy " . Does that mean that they will remove all of both

lobes, or since they are planning on leaving me only 5% of the left lobe it

counts as a total in the paperwork??? Also, what are the risks of reoccurrence

if they leave 5% of the left lobe? Then again, maybe there are some benefits

for leaving it???

Total thyroidectomy, subtotal thyroidectomy, near total, etc. - they all add to

up to about the same thing; they take almost all of the thyroid, leaving only

the parts touching or surrounding sensitive areas like the larynx, etc.

The advantage of leaving 5% is that they're not risking damaging sensitive

nerves, etc., but you won't get to keep that little remnant; the RAI will kill

it off, which is as it should be. Once all thyroid cells (malignant or benign)

have been killed off and your thyroglobulin (Tg) levels are zero (or <2 or

undetectable, depending on the lab), you can be monitored for recurrence with

RAI scans and Tg tests. Any increase in your Tg level indicates a recurrence.

If they left the

remnant, they'd never know if the Tg was cancer or not.

(not a doctor)

NYC

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