How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 43418
Experience:  Board Certified Oncologist
41363181
Type Your Oncology Question Here...
Dr. David is online now

hi, I had glands tumor PTH surgery, 5 month ago, but the pth

Customer Question

hi, I had glands tumor PTH surgery, 5 month ago, but the pth level never drop down. now they found new tumor is coming back again
Submitted: 2 years ago.
Category: Oncology
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

did you have a parathyroid tumor before which produced too much parathyroid hormone before?

Dr. David :

was your calcium levels high?

Dr. David :

what is your parathyroid hormone levels now?

Dr. David :

you need a thyroid ultrasound

Dr. David :

and you might need surgery to remove some of your parathyroid gland if your parathyroid gland is producing too much parathyroid hormone.

Customer:

i was diagnosed with primary hyperparathyroidism. I underwent left lower parathyroidectomy since September 10, 13. The follow up parathyroid hormone was high 198.8 pg/ml 5/2/2014. the ultrasound neck reported suspected recurrent left parathyroid adenoma, size 6x6x11 mm in diameter. the MBI scan was negative study. now they advise me come back in 6 weeks again for ultrasound study, revision left parathyroidectomy should be considered if the ultrasound study could be detect abnormal. I Just want to know if the surgery the first time went wrong and they not cut out enough from the tumor, that why its keep coming back again. and now since sept 2013 the pth level is always 198 to 2010, should they not do something about it, because my bones are minus 2 and the kidney is destroyed in stage 3 its works only 34 percent.?????

Dr. David :

yes it sounds like they didn't cut out all of the parathyroid adenoma.

Dr. David :

it can be tricky to cut out all of the parathryoid tumor and try to leave some normal parathyroid gland.

Dr. David :

they do need to do another parathyroid surgery.

Dr. David :

you need to get your parathryoid hormone levels lower.

Dr. David :

do you have other questions?

Dr. David :

you actually have 4 small parathyroid glands around your thyroid gland.

Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 43418
Experience: Board Certified Oncologist
Dr. David and other Oncology Specialists are ready to help you
Customer: replied 2 years ago.


well should I wait another 6 weeks like my DR recommend me?? because its just getting bigger and bigger. they treat me in Bangkok at bumrungrad hospital. Maybe better go to other country for medical advise

Customer: replied 2 years ago.

well should I wait another 6 weeks like my DR recommend me?? because its just getting bigger and bigger. they treat me in Bangkok at bumrungrad hospital. Maybe better go to other country for medical advise

Expert:  Dr. David replied 2 years ago.
I would not wait another 6 weeks like your doctor has recommended.

I would get another opinion for another surgery.

I would get another opinion from another ENT surgeon or endocrinologist in Bankok.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. David

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    4336
    Board Certified Oncologist
< Previous | Next >
  • http://ww2.justanswer.com/uploads/CO/commissure/2015-5-14_122816_r.aniel.64x64.jpg Dr. David's Avatar

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    4336
    Board Certified Oncologist
  • /img/opt/shirt.png J's Avatar

    J

    Doctor (MD)

    Satisfied Customers:

    13
    Board Certified in Medical Oncology
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
 
 
 

Related Oncology Questions