Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 17 - Section 17.2 - The Hypothalamus and Pituitary Gland - Apply What You Know-2 - Page 639: 1

Answer

If the thyroid gland was removed from a cancer patient (a procedure known as thyroidectomy), you would expect the level of TSH (Thyroid-Stimulating Hormone) to rise. TSH, which is produced and released by the anterior pituitary gland, plays a crucial role in regulating the thyroid gland's activity. It stimulates the thyroid gland to produce and release thyroid hormones, primarily T3 (triiodothyronine) and T4 (thyroxine), which are important for controlling metabolism, growth, and development. When the thyroid gland is removed, the body loses its primary source of thyroid hormones. As a result, the circulating levels of T3 and T4 in the bloodstream would drop. In response to this drop in thyroid hormone levels, the hypothalamus-pituitary-thyroid feedback loop is disrupted. The hypothalamus would sense the low levels of thyroid hormones and release more Thyrotropin-Releasing Hormone (TRH), which in turn stimulates the pituitary gland to release more TSH. The increased TSH secretion is an attempt by the body to signal the non-existent thyroid gland to produce more thyroid hormones. However, since the thyroid gland is absent in this scenario, the TSH levels will remain elevated without the expected negative feedback control by thyroid hormones. In summary, the removal of the thyroid gland would result in an increase in TSH levels due to the loss of negative feedback regulation by thyroid hormones. This situation is commonly observed in patients who have undergone thyroidectomy and is managed through synthetic thyroid hormone replacement therapy to maintain normal metabolic function.

Work Step by Step

If the thyroid gland was removed from a cancer patient (a procedure known as thyroidectomy), you would expect the level of TSH (Thyroid-Stimulating Hormone) to rise. TSH, which is produced and released by the anterior pituitary gland, plays a crucial role in regulating the thyroid gland's activity. It stimulates the thyroid gland to produce and release thyroid hormones, primarily T3 (triiodothyronine) and T4 (thyroxine), which are important for controlling metabolism, growth, and development. When the thyroid gland is removed, the body loses its primary source of thyroid hormones. As a result, the circulating levels of T3 and T4 in the bloodstream would drop. In response to this drop in thyroid hormone levels, the hypothalamus-pituitary-thyroid feedback loop is disrupted. The hypothalamus would sense the low levels of thyroid hormones and release more Thyrotropin-Releasing Hormone (TRH), which in turn stimulates the pituitary gland to release more TSH. The increased TSH secretion is an attempt by the body to signal the non-existent thyroid gland to produce more thyroid hormones. However, since the thyroid gland is absent in this scenario, the TSH levels will remain elevated without the expected negative feedback control by thyroid hormones. In summary, the removal of the thyroid gland would result in an increase in TSH levels due to the loss of negative feedback regulation by thyroid hormones. This situation is commonly observed in patients who have undergone thyroidectomy and is managed through synthetic thyroid hormone replacement therapy to maintain normal metabolic function.
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