Thyroid — complete assessment

The thyroid regulates metabolism, mood, weight and energy. A complete assessment combines clinical history, laboratory tests and ultrasound.

Conditions we care for

  • Hypothyroidism (including Hashimoto's thyroiditis)
  • Hyperthyroidism (including Graves' disease)
  • Thyroid nodules
  • Thyroiditis
  • Thyroid cancer and follow-up after treatment
  • Thyroid disease during pregnancy

Tests used

TSH, free T4, T3, antibodies (anti-TPO, anti-Tg, TRAb), thyroglobulin, Doppler ultrasound and ultrasound-guided fine-needle aspiration when indicated.

Frequently asked questions

Is every thyroid nodule cancer?+

No. More than 90% of nodules are benign. Ultrasound grades the risk (TI-RADS system) and indicates which ones need a fine-needle biopsy. Most are simply followed over time.

When is a fine-needle biopsy of the thyroid needed?+

For nodules with suspicious ultrasound features (TI-RADS 4 or 5) or nodules ≥ 1–1.5 cm with risk criteria, following the guidelines of the Brazilian Society of Endocrinology and Metabolism (SBEM).

Can thyroid cancer be cured?+

Yes — it is one of the cancers with the best prognosis. Differentiated types (papillary and follicular), the most common ones, have 10-year survival above 90%. Treatment involves surgery, sometimes radioactive iodine, and follow-up with TSH and thyroglobulin.

Does the thyroid influence weight gain?+

Yes, but modestly. Hypothyroidism usually causes a 2–4 kg gain from fluid retention and a slower metabolism. Significant obesity is rarely explained by the thyroid alone.

Should I have a routine thyroid ultrasound?+

Not as population screening. It is indicated when there is a palpable nodule, an abnormal TSH, a family history of thyroid cancer, previous neck irradiation or an incidental finding on another imaging test.

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Adult and pediatric care in São Paulo · CRM 141594/SP · RQE Endocrinologia 50079

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Schedule your consultation with Dr. Lorena

Humanized endocrinology care for adults and children in São Paulo — Av. Brasil, 2.283. Scheduling is done by the team via WhatsApp, with a response within 24 hours.

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