Thursday, May 13, 2010

Endocrinologists' cyber replies


I was almost sure I wouldn't get any replies on my e-mails to some endocrinologist. Well, I was wrong.
I'll briefly summarize the most important out of them.

Slovenian thyroid specialist (e-mail reply on 7 May):
• removal of your thyroid gland is a wise decision
• only 7 % chance you're nodule is not cancerous
• I'm not familiar with any alternative treatment

Another Slovenian thyroid specialist (forum reply on 10 May):
• as you're nodule is of a considerable size (and grew quite a lot since 2008), there's indication
for at least partial strumectomy during which it would be possible to decide what to remove indeed
• hormonal therapy wouldn't be a promising choice

3rd Slovenian thyroid specialist (forum reply on 12 May):
• majority of nodules are benign; probability they're cancerous is relatively small
• I don't recommend a hormonal treatment (no use in your case)
• surgery is not urgent but it's the only way to annul goiter
• second option would be regular ultrasound check-ups
• genetic factors are the most important ones in development of a goiter and its growth
• you can't do anything concerning it by yourself, not even with a diet
• I don't recommend Breuss cure (he doesn't say more)
• hormonal post-goiter-removal treatment (Thyroxine) has no side effects if its apportion is adequate 

4th Slovenian thyroid specialist (e-mail reply on 23 May):
• in your case, I recommend surgery
• you don't need medications, as it's clear now that they do not stop nodule's growth
• no matter your test results, there's 8 % chance your nodule is cancerous
• overall, prevalently it's a papillary thyroid cancer which is 100 % curable with surgery
• this surgery isn't dangerous; one night in the hospital
• the only possible side effect is laryngeal nerve injury (less than 1 % when I operate)

4th Slovenian thyroid specialist (sent me another e-mail reply on 29 June):
• I recommend the removal of your thyroid gland
• you can't cure this illness nor stop its growth with medications
• probability of cancer is 8 %, although this cancer is 100 % curable
• I can't suggest any alternative treatment as I don't know any

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