Anyone have thyroid issues as well as BC?

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  • starwatcher
    starwatcher Member Posts: 26
    edited May 2011

    Breast cancer dx summer of 2008 (I'm Triple negative). Had bil mastect, chemo, radiation and reconstructive surgery, etc.   Reconstructive surgery started Jan 2010.  Due to being Triple Negative, I requested follow-up scans--even with oncologist relating they were not indicated.   Scan April 2010 revealed small area of abnormal uptake in area with breast reconstruction--nothing major.   Follow up scan Nov 2010 revealed thyroditis or hyperthyroid status.  Blood work supported hypothyroidism and Endocrinologist did biopsy---which came back questionable neoplasm.  Bottom line--had partial thyroidectomy (left side)  first part of Feb --with dx of papillary carcinoma, so rest of thyroid removed end of Feb.  Have continued to be seen by Endo with blood work and med dosage changed accordingly.  I fully believe connection between BC and thyroid.  I had no symptoms of thyroid problem and wonder what would have happened had I not requested scan.  Both Endo and Oncologist kept telling me "it was probably nothing" before thyroid biopsy and  before both thyroid surgeries.   2nd thyroid surgery also revealed papillary cancer.   It amazed me that something showed up on thyroid in the 7 months between scans.

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited May 2011

    Absolutely amazing, Starwatcher.  I go on Wednesday to see about the adenoma on my thyroid.  I have had issues all along with cysts- Hashimoto's- this time the sold one.  Yikes, and I am scared to death.  The bummer is, right now I am not on synthroid and I hate feeling punky, achy and fatter.  I hate to wait and I dred surgery or more chemo.  DRAT!

  • suzieq60
    suzieq60 Member Posts: 6,059
    edited May 2011

    Thanks Patty - really interesting article. The breasts do process iodine, in fact they compete with the thyroid. I'm a firm believer in the connection between bc and thyroid issues. Not sure if I would try to treat bc with iodine though - bit scary. I'm definitely looking at iodine supplementation to help shrink my goitre.

    Sue

  • starwatcher
    starwatcher Member Posts: 26
    edited June 2011

    jrgolomb----hate you are going thru everything--hope things work out well.

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited June 2011

    Patty,

    Thanks for sharing this interesting article on iodine and breast cancer.  In Dec. 2010 when they were doing the diagnostic tests for the breast cancer on me they discovered a  large 7 cm growth in my chest on xray and CT scan (it had not been there in 2009).  The mastectomy I had in Jan 2011 showed on pathology that I had invasive breast cancer,  a infiltrating tumor that was not seen on mammogram, or ultrasound or MRI ( only seen when they did the pathologic exam on tissue after the mastectomy).  The thyroidectomy done in Feb 2011 showed the growth was goiter and happily was not malignant.  I wonder if iodine had anything to do with the breast cancer diagnosis and the quick growing goiter that had previously not been there. I plan to share this with my oncologist and endocrinologist.

    I am currently getting chemo (started in March about 3 weeks after my thyroidectomy)  and have gained about 20 pounds since the surgeries and chemo.  My thyroid is off again and she is increasing the synthetic thyroid.  I am not sure if the weight gain is related to my thyroid, the chemo or both. The endocrinoloigst says she is uncertain if I need more thyroid because I have gained more weight (which would impact the dose needed)  or because of the chemo?   Has anyone had problems with chemo impacting the thyroid ?     Thanks for info,   these issues are complex and I don't think the endocrinoloigsts and oncoloigsts have worked a lot together on these issues

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited June 2011

    Thank you, Starwatcher.  The doctor did another ultrasound and claimed I have Hashimotos and there are no issues with adenomas.  I have a lumpy , bumpy thyroid that has cysts all over and they come and go.  I go back to him in six months to see if they have changed or not.  I guess the thyroid is sort of like my lumpy bumpy breasts-hm....go figure.  I think if the "adenoma" hasn't changed, I am going to ask to have it taken out! 

    ANyone's input on this?

  • vivre
    vivre Member Posts: 2,167
    edited June 2011

    There is irrefutible evidence to the link with thyroid cancer, breast cancer and iodine deficiency. There is also a lot of misinformation about the dangers of iodine. You should check out Stopthethyroidmadness and naturalthyroidchoices. Both of these sites are a wealth of information full of testimonials of people who are taking iodine and natural thyroid like armour instead of the synthetic stuff that is not very good. You should also join the iodine yahoo group, where people from all over the world share their experiences with iodine. It is run by the gal who has the naturalthyroidchoices website.

    I have been on the iodine protocol, taking over 50 mg a day for over 2 years now. After a period of detoxing, I have never felt so good in my life. Read Dr. Brownstiens books to learn more about it.

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited June 2011

    Thank you , Vivre- My husband takes iodine--had issues with rapid heart beat, seemed to temper the amount and doesn't say much more about that.  I will look into this. I would love to get this all regulated.  I am tired of being well, tired!

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited June 2011

    Re weight gain with chemo and thyroid issues.  I had a mastectomy in late Jan, a thyroidectomy in late February and started chemo afout 4 weeks after thyroidectomy.  I just gained another 10 pounds in 3 weeks since the last chemo.  My thyoid went off again and endo increased the dose of thyroid last week.  I can't believe the weight gain of 30 pounds in 4 months.  I am not eating much differently.  Are people having this problem?? .  They say it is due to chemo and thyroid. How often do you recommend getting a blood test for thyroid.  Does chemo impact the amount of articifical thyroid needed?   My endo is doing blood test  every 6 weeks but maybe this is not enough? 

  • o2bhealthy
    o2bhealthy Member Posts: 2,101
    edited June 2011

    Serenity - I had BMX in June 2009, Partial Thyroidexctomy in Nov 2010.  Between chemo and thyroid issues I gained 45lbs (30 lbs during chemo). I know I was very sedimentary while in chemo and for a long time after.  I really tried to be active during chemo but  after chemo #2 and I was unable to walk more then a block without severe pain Frown 

    I personally think that chemo really screws with our bodies.  It destroys our immune system and slows our metabolism's and hormones including thyroid.  I have my thyroid levels every 4 months unless symptomatic with hypo or hyper issues. 

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited June 2011

    That is a very frustrating part of all this- the weight gain.

    O2Bhealthy- what kinds of test did you have to determine the thyroid cancer?  I wonder if I am going through the wait and see method like I did before I dx'd with breast cancer.  I don't like that method at all.  I feel like I should insist on a biopsy of the 'nodules" on the thyroid the doc is just "watching".  I insisted on an ultrasound and they just say " It's hashimotos".....I don't know- I still feel paranoid. 

  • o2bhealthy
    o2bhealthy Member Posts: 2,101
    edited June 2011

    Jess - my thyroid cancer was found through US and then biopsy on the nodule. If you are concerned, ask for a biopsy of the nodule(s).  It is so frustrating when you know something is wrong and your doctors just blow you off.  My onc actually had nothing to do with my thyroid cancer, she didn't even call me to after dx to see how I was doing.   My GP was the one who helped me the most.  I know the paranoid feeling...I went to my PS for pain with my right implant, I thought the implant flipped or slipped out from under the muscle.  Apparently there is nothing wrong with the implant/pocket but I may have tore an intercostal muscle.  My PS recommends a bone scan 'just to be sure'... now I have to wait for my onc to call me back, I'll give her until Monday afternoon and then I am calling my GP.

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited June 2011

    Yes, I think I am going to ask them to biopsy the cyst they referred to.  I betcha they could easily use a FNB and answer many questions.  Waiting till december is too much- even if the latest us came back as no adenoma this time just cysts.......grrrr 

    yeah, my gp wanted to take me off the synthroid and  put me through the radioactive dye to look at the adenoma to see if it was hot/cold.  The thyroid doc said absolutely not , gave me another US and said I was fine.  But...I keep going back to the radiologist saying there was an adenoma.....It's driving me nuts. 

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited June 2011

    Hi everyone,

    While I was being worked up for the breast cancer, they did a chest xray and that is when they saw the increased growth on my thyroid and going down medi sternum .  Mayo did a ct scan of chest/thyroid but they still couldn't tell if it was cancerous or not.  They were unable to biopsy it before the thyriodectomy because of the position of the tumor- could not get behind the sternum.  At least the CT scan told them something and they were betting that my growth was not cancer.   For those of you having issues with the diagnosis I wonder if a CT scan would be helpful  in addition to ultra sound?    I hate the weight gain.  I weigh and measure all my food and I still gaining weight. Trying to keep active   There is a program called Feel Better, feel stronger, run thru the YMCA and I think Am Cancer Society that is free and and is geared toward people who have cancer.  I think it is a national program but not sure.  Hope this will be helpful to all of you.  These medical diagnoses  are heard to deal with and I am sure they don't understand the entire link between thyroid and cancer !

  • TooManyCocktails
    TooManyCocktails Member Posts: 182
    edited June 2011

    In 2003, I was dx'd with a multinodular goiter.  The goiter would press on my trachea at night (and other times), which would make me choke and cough.  I had a Near Total Thyroidectomy the same year.  The doctor said that I would not have to take thyroid hormones because he left a piece of the thyroid.  Well, I went to the endocrinologist and she checked my levels and they weren't in normal range.  I have to take Levoxyl. 

    My mother had a Near Total Thyroidectomy, also.  The doctor told her that she didn't need to take hormones as well.  She did not take any hormones,  The piece of thyroid regrew down the side of her trachea into her mediastinum (chest area).  It, eventually, compressed her airway. She was unable to breathe.  When the EMTs tried to intubate her they had a really hard time. By the time that they got her intubated, she had developed anoxic brain injury.  She died from complications of this.

    I was dx'd  with breast cancer in Oct. 2010.  I don't know if there's a connection or not.  My mother did not have breast cancer.  I have/had (One died from BC.) two sisters that also breast cancer; but they did not have any thyroid problems.

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited June 2011

    I had my thyroidectomy in early March and my mastectomy at end of January.  My neck is still numb  (nerve damage?) from about chin  to where the incision at base of neck is and my underarm is numb from about the elbow to my armpit.  It has been 3 months since the thyroidectomy and the wierd tight numb feeling I have in my neck is annoying.  Did others encounter these symptoms and did they go away?  Thanks for information

  • agada
    agada Member Posts: 452
    edited June 2011

    I have Hypothyroid problems as well, found just before my breast cancer was discovered.  I do not have nodules. Medication was perscribed for the hypothyroidism because it is a dangerous problem for people.  The weight gain before the synthroid was not fun tho. I wonder if hypothyroidism is a warning sign for breast cancer?  I will have to read the above article.

    Agada

  • baseballmom
    baseballmom Member Posts: 126
    edited June 2011

    Wow, just found this thread.  I have been hypo for several years but recently went hyper a few months ago.  It took me a few weeks to get an appt with the Endocrinologist and in the mean time waiting I was diagnosed with bc.  I've seen the endo and she discovered a nodule on my thyroid which completely surprised me.  Now that she's mentioned I do feel it.  I will have an US today and then I guess we'll see.  I'm still hopeful, I have to be, that there is nothing seriously wrong.  :)

  • MaryNY
    MaryNY Member Posts: 1,584
    edited June 2011

    I'm glad I found this thread. I'm surprised at the number someone quoted of about 50% of breast cancer patients having some kind of thyroid problem.

    It's been a little over a year since I finished treatment for breast cancer and I've been on Tamoxifen since then. I went to see my oncologist last week. My bloodwork showed higher than normal levels of TSH. My TSH level was 5.29 mcUnits/ml ("normal range 0.55-4.78 mcUnits/ml"). My T3 and T4 levels were within the normal range. My previous TSH levels were 2.40 a year ago and 1.81 eighteen months ago. I've been advised to follow up with my PCP.

    Should I be concerned? I have gained a lot of weight (25 lbs) since I finished chemo but I was inclined to blame Tamoxifen or thought my metabolism was just completely messed up from chemo. I don't think I have any other symtoms of hypothyroidsm. I certainly don't have intolerance for cold (I actually love the cold) or the puffy, dry skin.

  • baseballmom
    baseballmom Member Posts: 126
    edited June 2011

    I had hypothyroid for 3 years and didn't know I had it before I was diagnosed, just didn't feel good.  Not all the symptoms applied to me so I didn't thats what it was.  Only the blood test was able to tell that I was hypo.  Now I'm just waiting for the results on why I'm not hyper and for my ultrasound results. 

     I highly recommend seeing endocrinologist if you can.  Originally my PCP was handling it until my numbers went in the opposite direction and reducing my synthroid didn't work.  

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited July 2011

    Hi,

     Interesting that several of us who have had chemo and thyroid issues, also have weight gain issues.  I have been trying to get my endocrinologist to do thyroid testing when they do the blood work just before the chemo infusions.  Any ideas on whether a simple TSH is ok or should a T3 and T4 also be done?   Also, has anyone on this list had a thyroidectomy/  I had thryoidectomy done in Feb and my neck is still numb from chin down.  Often if it feels as if someone is tightening a necklace around my neck.  I wonder if this is due to the chemo I am receiving or just nerve damage from the thyroidectomy.  Anyone else had these symptoms after thyroid surgery?  My ENT says nothing.  I am also concerned if there is any connection between taking synthetic thyroid and breast cancer?  Anyone have any ideas  on that?  Thanks

  • Patriotic
    Patriotic Member Posts: 281
    edited July 2011

    I was diagnosed with Hypothyroidism at age 28 (took Synthroid and then Levoxyl). Diagnosed with BC at age 40. The PET/CT revealed a small nodule (9mm) in the lower portion of my thyroid. Thus, it is not palpable and God only knows how long it's been there! I agree with the others that the Onc is completely unconcerned with my Hypothyroidism and thyroid nodule. It has only been suggested that I get a thyroid ultrasound and potential needle biopsy after the BC treatment is complete. I have even had to fight to get them to check my thyroid levels during the pre-chemo blood checks. And who knows what chemo is doing to the thyroid?



    But, the potential connections are fascinating. I personally believe that most BC has an endocrine, hormonal and/or genetic component. The risk factors are "crap" in my opinion. It's just a
    blame game for a disease with no KNOWN cause. Nearly everyone at my cancer center are young, healthy, at proper weight, have small kids, breast-fed, eat nutricious and even "organic" food, blah, blah, blah.



    I bought potassium iodide. Does anyone know if it is okay to take during chemo? I am a little hesitant and will ask the Onc.




    serenity wisdom, is it possible the weight gain is from the steroids (chemo pre-meds)? My Onc told
    me I could expect to gain. Upon learning this, I have increased the exercise a bit, along with the good nutrition, but have still gained about 3 lbs in 10 weeks. The chemo hurts the body's metabolism, as it is frequently constipating.




    Anyway, thanks for starting this thread.


  • MaryNY
    MaryNY Member Posts: 1,584
    edited July 2011

    I had my thryroid function tested by oncologist two weeks ago. My TSH level was 5.29 mcUnits/ml ("normal range 0.55-4.78 mcUnits/ml"). My T3 and T4 levels were within the normal range. My PCP repeated the test this week as part of my annual physical. TSH level a little higher 6.76 (ref range 0.358-5.04) but with different labs I suppose this is to be expected.

    Doctor said I had subclinical hypothyroidism since my TSH is high but my T3 and T4 levels are within the normal randge. She gave me an Rx for synthroid. She suggested that I might want to see an endocrinologist first.  

  • serenitywisdom
    serenitywisdom Member Posts: 191
    edited July 2011

    Dear Patriotic,

    I have also had to keep asking to have thyroid testing done during chemo treatments.  The oncologist seems totally unconcerned and yet I keep gaining weight.    I keep asking the question if chemo impacts the synthetic thyroid absorption.  They have said no but I do wonder.    I asked the endocrinoloigst for more testing, so far just testing TSH,  Does anyone know if all 3 tests are warranted when testing thyroid levels  T3, T4 and TSH.  One would think that chemo might impact thyroid levels and that more testing should be done.  .  ,

  • pam53
    pam53 Member Posts: 131
    edited July 2011

    I have been hyothyroid for over 20 years and was just diagnosed with IDC last week.  Still waiting for lymph node biopsy results.  One thing I noticed in the past year, I have been getting cold easily.  I was never like that.  Was always the first one to take off a jacket, first one in shorts.  Now, it is the opposite.

    Having reading your posts, I am wondering if there is any link.  Could my thyroid levels be off?  I am scheduled to see my endocrinologist  in two weeks for my annual visit and plan to bring it up.

    Anyone having trouble with cold tolerance since being diagnosed with BC?  I have heard that happens with chemo treatment but I have not gotten to treatment yet.

  • MaryNY
    MaryNY Member Posts: 1,584
    edited July 2011

    Pam: I would definitiely have your thyroid levels checked. Presuming you're on thyroid meds, maybe you need to have the dose adjusted.

    I became very intolerant of cold during the first few chemo treatments. Chills are a known side effect of some chemotherapy drugs. Then the hot flashes kicked in and that was the end of that. Intolerance of cold is definitely one of the hypothyroidism symptons that I do not have.

  • dexxy
    dexxy Member Posts: 229
    edited July 2011

    I'm going to chime in.  I myself had a blood test on the same day as my mammogram.  The blood test came back, TSH 3.13 which isn't high as far as the lab was concerned but my doc wanted to put me on some drugs.  Of course this all happened after I was DS with BC so I said lets deal with that after I get through treatment.  But I got to wonder, is that a warning sign?  High TSH levels? should women who have thyroid problems be watched more carefully?  I wish someone would look more into this

  • kira1234
    kira1234 Member Posts: 3,091
    edited July 2011
  • suzanneinphoenix
    suzanneinphoenix Member Posts: 208
    edited July 2011

    Ditto....hypothyroid for at least 12 years prior to BC.  Still on Synthroid......

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