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 |
Hashimotos 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.