TOXIC ADENOMA

[corsic]

Hi Everyone,

Can anyone tell me if they have ever had a toxic adenoma of the thyroid treated with RAI and then have it recur in another part of their thyroid (namely the other side)? I had 3 RAI treatments over a period of 4 yrs only to end up with the reverse problem to deal with! HYPO..AHHHHHH. Anyway, I now have another large nodule slowly growing in size on the opposite side. Is it possible that too will end in hyper symptoms?! If you know of anyone with similar issue please redirect me, cause I'm at a total loss as to what to ask the endo next!

Thanks!

[ChitChatNine]

thanks for the info!!!!!

[skeeterknitwit]

There are a whole bunch of different names.  I think adenoma and nodule are interchangeable names. They all mean the same thing.  Toxic nodule, toxic adenoma, hyperfunctioning adenoma, autonomous nodule.
It is a group of thyroid cells (tumor-Dr.s usually don't use that word) that refuses to be controlled by TSH.  The adenoma just keeps on making more T4 & T3 even though your TSH is undetectable. It causes clinical hyperthyroid symptoms and thyrotoxicosis.  TPO, TSI, & TRab anti-body tests are usually all negative.  Ultrasound would show one or more areas of nodules or cysts.  RAI uptake is usually high. RAI scan will show a hot area and the remaining thyroid tissue suppressed.  The scan could also show cold areas if the nodule has hemorraged into itself.

I think I should print me one of those Internet Endocrinologist diplomas!

[ChitChatNine]

What is a toxic adenoma?

[skeeterknitwit]

I'm bumping this up.  Your story scares the bejeeebers out of me!  I'm 8 months post RAI for toxic adenoma.  Jeesh, hope mine doesn't come back!