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Table 2. Pain relief to treatment and surgical pathology

Patient no. Pain relief to T4 Pain relief to steroids Pain relief to aspirin/NSAIDS Time from pain onset to surgery (yr) Pain relief after thyroidectomy Extent of surgery Weight of thyroid resected (g) Pathology Pain relief after postsurgical 1311 ablation Current L-T4 dose (µg/d)

1 No No Not given 2 Total, permanent NTT 10.4 Focal lymphocytic thyroiditis 125/150 e.o.d.
2 No No Not given 2 Total, but neck pain recurred after 1 yr NTT 36 Hashimoto’s thyroiditis with incidental 1.8 cm focus of papillary cancer, Lt lobe Yes, but neck pain recurred after 1 yr 250
3 No Rapid but relapsing Not given 3.1 Total, permanent NTT 5.4 Near end stage thyroiditis, with extensive replacement by fibrosis and lymphoid follicles 112
4 No Rapid but pain relapses No to NSAID 1.1 Total, permanent STT 8.4 Focal lymphoid infiltrates, sparse Hürthle cells 250
5 Partial Not given Unable to tolerate NSAID 6.2 Total, permanent STT 46 Dense fibrosis, large reactive lymphocyte follicles, Hürthle cell clusters 150
6 No Not given No to aspirinand NSAIDS 0.5 Partial STT 22 Diffuse lymphocytic thyroiditis 250
7 No Rapid but pain relapses Partial 0.6 Total, relapsed STT 4.4 HT Total, relapsed 250

NTT, Near-total thyroidectomy; STT, subtotal thyroidectomy; e.o.d., every other day; L-T4, L-thyroxine.





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