|    |       Joined:  Dec 2011  Posts: 126    Senior Member (100+ posts)   |      OP      Senior Member (100+ posts)    Joined:  Dec 2011  Posts: 126  |    I just had my first CT scan post-treatment (clear :)), and my blood work revealed my thyroids are hyperactive, resulting in my sudden weight loss and extreme insomnia. Ive seen a specialist, who said I either have Graves Disease or thyroiditis - I will be finding out which one soon. Either way, he says it is not related to my cancer/treatment, which I find hard to believe. I know hypothyroidism is a common long term side effect of radiation, but has anyone else experienced hyperthyroidism?        
Emily - 24 years old at diagnosis HPV-, no risk factors  T2N2b Squamous Cell Carcinoma  Left oral tongue, poorly differentiated Hemiglossectamy, reconstruction, partial neck dissection 30 Radiation treatments, weekly chemo (cisplatin) 1/13/12 last day of treatment Diagnosed October 2011 
  |      |       |               |    |       Joined:  Sep 2009  Posts: 126    Senior Member (100+ posts)   |           Senior Member (100+ posts)    Joined:  Sep 2009  Posts: 126  |    I was diagnosis of hyperthyroidism, but it was two years prior to my oral cancer diagnosis.  I had a thyroid ablation with radioactive iodine in 2006, and then oral cancer in 2009, but my oncologist denies any link.  I have always wondered.
  Sharon        
Sharon, 57; Hard Palate; T1, High Grade, DX 6-12-09, Surgery, maxillectomy 7-14-09, 33 RT (9-2-09 to 10-19-09); Prothesis (obturator).  None smoker, non drinker.  
  |      |       |               |    |       Joined:  Mar 2008  Posts: 3,082    Patient Advocate (old timer, 2000 posts)   |           Patient Advocate (old timer, 2000 posts)    Joined:  Mar 2008  Posts: 3,082  |    Emily
  What are your actual TSH levels?  It's very important to have the actual numbers from your blood work instead of just "normal range" or high or low.   Otherwise you may be misdiagnosed by well meaning but out of date doctors.  Look for any old medical records to see what your TSH level was before TX and radiation.  That is the level you want.
  I have only heard of radiation causing hypothroidism. {to OCF posters:a test to measure the amount of TSH in your system will show lower than normal TSH when the thyroid is overactive. LOWER TSH = OVERACTIVE THYROID / HYPERTHYROIDISM. TSH that is higher than normal suggests a thyroid that is underactive and not doing its job of producing thyroid hormone.  HIGHER TSH = UNDERACTIVE THYROID / HYPOTHYROIDISM.)
  Remember that the so called normal reference range is approximately 0.5 to 5.0. So levels below 0.5 are considered possible evidence of hyperthyroidism, and levels above 5.0 would be considered possible evidence of hypothyroidism. BUT most endocrinologists believe that the range should be narrowed significantly, to 0.3 to 3.0.
  Sorry to hear that you have this problem also Charm
    
Last edited by Charm2017; 03-26-2012 05:54 AM. Reason: typos
        65 yr Old Frack  Stage IV BOT T3N2M0 HPV 16+  2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin  Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5)  3 Carboplatin    Passed away 4-29-13
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