Changes in serum TSH, T
4 and T
3 concentrations after complete thyroidectomy were observed for 4 weeks in 9 euthyroid patients with thyroid carcinoma. Completeness of the thyroidectomy was confirmed by a
131I scintigram performed one or two months after the operation. Serum TSH levels rose progressively during the 4 weeks of observation, and a significant increase was noticed as early as 3 days after the thyroidectomy. Serum T
4 and T
3 concentrations decreased significantly 3 days and 18 hrs, respectively, after the thyroidectomy. A sharp decrease in serum T
3 concentrations within 18 hrs without a significant change in serum T
4 levels and possibly without a significant change in the amount of T
3 derived from T
4 suggests that the amount of T
3 secreted from the thyroid is large enough to affect serum T
3 concentrations. The rate of decrease of serum T
4 (t 1/2 : 16 days) or serum T
3 (t 1/2 : 23 days) after the 3rd day of the thyroidectomy was much slower than the rate of disappearance of labeled T
4 or T
3 reported previously. The slow decrease rate of serum T
3 is probably due to the conversion of T
4 to
3 in peripheral tissues, and that of serum T
4 may be due to either the decrease in T
4 disposal rate in hypothyroidism or due to the release of T
4 from peripheral tissues to serum.
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