More than 90 percent of thyroid nodules are not serious and do not cause any symptoms. Diagnostic tests such as biopsies are needed to determine if a nodule is cancerous. Thyroid cancer accounts for only a very small percentage of thyroid nodules. Our expert thyroid surgeons work with you to determine whether to remove all or part of your thyroid to treat your specific thyroid disorder.
Access myPennMedicine For Patients and Visitors. Find a Program or Service. Thyroid Surgery. Thyroid Surgery Program. Learn more about each type of thyroid surgery and how you and your surgeon will determine which is right for you We also work in conjunction with international experts in the specialties required for the management of surgically treated thyroid conditions, including pathology, cytology, radiology, endocrinology, nuclear medicine, medical oncology and genetic counseling.
You may also receive other treatments before hormonal therapy is started. Levothyroxine Synthroid, Eltroxin is the standard hormonal therapy for people who have a total thyroidectomy to treat thyroid cancer. This drug replaces the thyroxine that would normally be made by the thyroid. Levothyroxine is also used to help prevent a recurrence of differentiated thyroid cancer papillary or follicular carcinoma.
Taking levothyroxine makes sure there is enough thyroid hormone in the body so the pituitary gland makes less TSH. Lowering the amount of TSH in the body may slow the growth of any remaining thyroid cancer cells. Levothyroxine is usually given as a pill once a day. You will need to take it for the rest of your life. Doctors will regularly check thyroxine and TSH levels in the blood.
This helps make sure that the right dose of levothyroxine is being given to keep TSH low without making thyroxine levels too high. Some people have many side effects. Other people have few or none at all. This appointment can be made by calling the surgeon's office when you return home following your surgery.
In general, pathology results can expect to be final approximately days. This may vary depending on the type of surgery. Special staining may be necessary and may delay results.
Pathology results will be discussed at your post-operative appointment unless otherwise indicated. If applicable, further treatment questions will be addressed at your post-operative appointment with the surgeon. Treatment options may also be discussed with your referring Endocrinologist. Thyroidectomy The thyroid gland is a butterfly-shaped organ composed of two cone-like lobes or wings connected via the isthmus. What is a Thyroidectomy? A thyroidectomy is a surgical procedure to remove all or part of the thyroid gland and used to treat diseases of the thyroid gland including: Thyroid cancer Hyperthyroidism overactive thyroid gland Large goiters or thyroid nodules causing symptomatic obstruction such as swallowing or breathing difficulties.
Multi-nodular Goiter A thyroidectomy is traditionally a minimally invasive surgery performed through a small horizontal incision in the front of the neck. A new hybrid procedure using a TransOral and Submental Technique TOaST technique offers patients an additional option, a refinement that pairs the transoral approach with a small easily hidden incision just under the chin, offering the following benefits : Decrease in postoperative complications and patient discomfort The ability to accommodate larger thyroid specimens Maintaining virtually all of the cosmetic benefits of traditional scarless surgery UCSF is a major referral center for endocrine surgery in the region.
What is Frozen Section and when is it used? What are the risks of the operation? There are three main risks for total thyroidectomy. Recurrent laryngeal nerve injury: This nerve controls your vocal cords and if injured you will have a hoarse voice. Low blood calcium: There are parathyroid glands that lie behind your thyroid gland that help to control your blood calcium levels. If they are injured or removed can lie within the thyroid gland during your operation, then your blood calcium can be too low.
This would require you to take calcium and vitamin D supplementation. This is the main reason you stay overnight in the hospital.
How do I prepare for surgery? External beam radiation therapy may be recommended if surgery isn't an option and your cancer continues to grow after radioactive iodine treatment. Radiation therapy may also be recommended after surgery if there's an increased risk that your cancer will recur.
Chemotherapy is a drug treatment that uses chemicals to kill cancer cells. Chemotherapy is typically given as an infusion through a vein. The chemicals travel throughout your body, killing quickly growing cells, including cancer cells. Chemotherapy isn't commonly used in the treatment of thyroid cancer, but it's sometimes recommended for people with anaplastic thyroid cancer.
Chemotherapy may be combined with radiation therapy. Targeted drug treatments focus on specific abnormalities present within cancer cells. By blocking these abnormalities, targeted drug treatments can cause cancer cells to die. Targeted drug therapy for thyroid cancer targets the signals that tell cancer cells to grow and divide. It's typically used in advanced thyroid cancer. Alcohol ablation involves injecting small thyroid cancers with alcohol using imaging such as ultrasound to ensure precise placement of the injection.
This procedure causes thyroid cancers to shrink. Alcohol ablation might be an option if your cancer is very small and surgery isn't an option. It's also sometimes used to treat cancer that recurs in the lymph nodes after surgery.
Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. Palliative care specialists work with you, your family and your other doctors to provide an extra layer of support that complements your ongoing care.
Palliative care can be used while undergoing other aggressive treatments, such as surgery, chemotherapy or radiation therapy. Increasingly, it's being offered early in the course of cancer treatment. When palliative care is used along with all of the other appropriate treatments, people with cancer may feel better and live longer.
Palliative care is provided by a team of doctors, nurses and other specially trained professionals.
Palliative care teams aim to improve quality of life for people with cancer and their families. There is a problem with information submitted for this request. Subscribe for free and receive an in-depth guide to coping with cancer, plus helpful advice on how to get a second opinion.
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