The U/S revealed the positive PTC recurrence finding, as well as new "much bigger" spot that was very disturbing to the radiologist and could prevent me from getting the ethanol ablation. Bleeding into the tissues surrounding the neck, which is known as a neck hematoma, is uncommon, but is potentially life-threatening if not diagnosed and treated promptly. Lump under the chin: Symptoms and causes - Medical News Today Nausea and vomiting after thyroidectomy was the norm at one time, and people may be concerned if they talk with others who had this procedure in the past. After completing this course of medication, I could feel that the swelling had slightly gone down but then the swelling came back around April 13 when I tested positive for COVID. She is the author of "The Thyroid Diet Revolution. I really freaked out about it too. How do doctors decide the THR doses? I was shocked that she uttered those words and I excitedly told her I had been obsessively researching this treatment - but wasn't sure re: RAI. If you saw my other thread, you know I've had an allergic reaction to steri-strips so that might be causing some swelling. Achesbadly, is probably more accurate, Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. I have some soft tissue swelling at my incision site which I figured was normal after TT and central neck dissection. What should I be asking my endo about? Are there other forms of treatment for my condition? Quick background: Full TT performed in May 2013 at Hopkins for several nodules, only one with cancer - a 7mm nodule PTC - BRAF+, No lymph node involvement, margins "invasive carcinoma deep in to the margins". I was reading some of your other posts and saw that you have been doing well after your procedure. You should also avoid any heavy lifting or strenuous activities, such as many sports, for a few weeks. You will see swelling or bruising develop in the area around the incision 1-3days after surgery. Eur Thyroid J. I would love to hear from anyone who has experienced similar problems after surgery. Risk stratification of lateral neck recurrence for patients with pN1a papillary thyroid cancer. At your follow-up appointment, your surgeon will determine if you need to remain on calcium and vitamin D. If you were started on hormone replacement therapy, a thyroid-stimulating hormone test (TSH) should be checked about six weeks after surgery. Sweating less (or more) than before 2. Im 2 and half weeks after total thyroidectomy and although incision healing well I have considerable swelling still just below it. I was diagnosed last Sept. 2011 with pap thyroid cancer. Hi sorry to here you ended up in A & E hope things ease for you sooner rather than later the surgeon never informed me how absolutely awful I'd feel afterwards he acted like I'd feel fine in a few days which is rubbish. Once you have recovered from anesthesia and are fully awake, youll likely be able to have something light to eat and drink. Another blood test is recommended in Jul 2013, followed by a low dose radio iodine scan. He said it was normal. This often increases over the first 1-2 weeksand then begins to resolve over 6-8 weeks. This did not happen in my prior surgeries. I did suffer from Parotid damage 6 months post RAI but I didn't suffer from dry mouth and only had swelling at the 6th month interval and no swelling since. We do not endorse non-Cleveland Clinic products or services. Has anyone else experienced this? official website and that any information you provide is encrypted A lump under the chin may be due to swollen lymph nodes, cysts, allergies, and other health issues. Eur Arch Otorhinolaryngol. Coarse, dull, dry, and brittle hair that breaks easily None of the patients experienced permanent hypoparathyroidism or recurrent laryngeal nerve damage. 2017;157(2):210-216. doi:10.1177/0194599817700583, Myssiorek D, Ahmed Y, Parsikia A, Castaldi M, Mcnelis J. PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions I have been doing my physical therapy exercises daily in attempts to help with the swelling. The woman that did it was named Carol Michaels and she has books and videos targets at cancer survivors of all kinds. If you are wondering what your scar may look like, the University of California Los Angeles has a scar gallery with photos of people who have had thyroid surgery at various points in the healing process. Treatment usually includes IV antibiotics, which are medications to kill bacteria that are delivered through a vein. Under local anesthesia so they can monitor my voice function during surgery. The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Download our free Low-Iodine Cookbook (PDF), Rally for Research and Thyroid Cancer Research Grants. Especially, extranodal extension of a metastatic central LN (OR, 38.82; 95% CI, 5.71-264.10; p<0.001) was an independent predictor of lateral LN recurrence. Youll likely be able to go back to your normal, light activities the first day after your thyroidectomy. My profile picture is what my neck looked like before the surgery. I am also needing to prepare for the RAi scan in 3 weeks time and was told not to take any supplements whatsoever, does anyone know if its still ok to take antidepressants while preparing and undergoing RAI? Anyone else have this issue? I just had a total thyroidectomy in March/2016, and have been on 125 yrs old crippled with osteoarthritis , had a thyroidectomy 10 years ago following uncontrollable NW London Hospitals Referring Patients to 'liothyronine with Statins - get informed and know the risks, Absolutely no apetite after thyroidectomy. -FT3 = 3.72 pg/mL (2.30- 4.20) Thyroidectomy - Mayo Clinic I had a therapist remind me that the fluid is not just outward, but the internal tissues hold fluid too. Does this sound like just a salivary gland complication from the RAI and has any of you had this happen to you? Thanks. @oW 4Y[@? Though thyroid surgery is considered a relatively safe procedure, complications may sometimes occur. Fever with a temperature higher than 101.5. Less than 1% of people having a thyroidectomy will experience damage to either the recurrent laryngeal nerve or the external branch of the superior laryngeal nerve. Any advice will be much appreciated as I am scheduled for vocal cord surgery on Wednesday! During this time, the staff will monitor you closely for any signs of neck swelling that could indicate a neck hematoma. The ThyCa: Thyroid Cancer Survivors' Association Support Community connects patients, families, friends and caregivers for support and inspiration. Journal of Thyroid Research. I was glad to run across this site while searching for some information. Complications after thyroid surgery are rare but can be serious and potentially life threatening. I just looked at my Tg results and I'm really happy that number dropped from 20 back in April to .6, which is where my Tg was at its lowest after my TT and central neck dissection. Last week I talked with my surgeon's office at MD Anderson. No redness or bruising and Im fairly positive its not an injury. Feb 14th, 2012 had massive dose of RAI. Hypoparathyroidism is when you have too little parathyroid hormone, which can lead to low calcium levels. These include: While a total thyroidectomy is more extensive surgery than a subtotal thyroidectomy, several studies suggest that the safety of the two procedures is similar with regard to complications, though temporary low calcium levels (and hypothyroidism due to the removal of the entire thyroid) are more common with the total procedure. endobj Soft, shiny, and easily crumble Good evening everyone! I'm considering surgery to treat my overactive thyroid as the medication is not improving it, are there any dangerous side effects of thyroidectomy? My left vocal cord nerve had already been invaded and stopped working prior to surgery. If you have a large goiter or a large cancerous tumor, youll likely need a total thyroidectomy. Center) First, I will say (and it's been said on this board here before) going to Mayo was the BEST decision and BEST medical experience of my entire life. its making ankles, swollen fingers and swelling between knuckles. Thyroidectomy | Johns Hopkins Medicine My concern is that in the last few days I had swelling pop up below my collar bone. She has had one removed already. This community is sponsored by ThyCa: Thyroid Cancer Survivors' Association, an Inspire trusted partner. Anyway im back out having had some very limited bloods done. Clinical thyroidology for the public. The thyroid is a butterfly-shaped gland in your neck that produces hormones, which play a key role in regulating your heartbeat, breathing, and many other functions. Wen Q, Wang Z, Traverso A, Liu Y, Xu R, Feng Y, Qian L. Front Endocrinol (Lausanne). By using this Site you agree to the following, By using this Site you agree to the following. Was it super gradual, or was there a day that you woke up and it was much better? If not it does take some time for the body to absorb the fluid. The lymphedema therapist concocted some velcro/ace band together to put around my neck. My blood work came out perfect, except for sightly high cholesterol & triglycerides, and my eosinophil (whatever that is) was high at 614. And then there is Dr. Hay - who is incredibly brilliant and so patient focussed --it is really beyond belief. I was thinking it was lucky I didn't get sick closer to my TT. Seroma: Causes, treatment, and recovery - Medical News Today I was going to take a photo but didnt want to put people off their breakfast! Thanks. You may also wish to ask about their complication rate, but this is not necessarily an accurate measure of competence. I alos have pain and tightness in sternal area and towars my left shoulder. All of your thyroid (total thyroidectomy). There is no relationship between when you take Provera and have a thyroidectomy. Size has not grown since. Dr. Alan Feldman answered 43 years experience Unfortunately, a surgeon makes ~50K off of each PTC recurrence and a radiologist will make ~3K off every ablation. My surgeon told me I could do anything I wanted including exercise but even 5-6 weeks post opt I could not lift weights or barely jog without swelling shortly after. Ai J, Leonhardt JM, et al. 2 Tracheal perforation related to thyroidectomy is usually detected during surgery, and recovery without major complications is possible with . They asked if I could come back this week to see speech therapy for swallowing and to go to their lymphedema clinic. Thyroid Surgery Recovery, Side Effects, and Complications. While complications can affect anyone, there are some risk factors that increase the chance of the adverse effects. Dr said this is recommended 6 to 12 months after initial RAI. Heres a photo of myself this morning. full body scan shows no metastasis. Has anyone else experienced swelling in the neck region so soon after their surgery? Be sure to follow them. {P.s. Now I feel a ridge or small obstruction when I swallow. It stings b/c of the pressure my neck has on it. Most of your thyroid (near-total thyroidectomy). Painless lumps and patches of scaly, discolored skin, and the affected skin feels hard and waxy I would freak out if I started swelling 4 days post op. 2018 Dec;97(51):e13435. The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Use of this online service is subject to the disclaimer and the terms and conditions. Terris DJ, Snyder S, Carneiro-pla D, et al. Thank you I will try it.Will try it regardlesd. Some of these require prompt treatment, so it's important to be aware of them. However, that information will still be included in details such as numbers of replies. Ask your therapist if this is an option for you. Moist, velvety, and warm skin like a babys New upper neck mass after thyroidectomy, radioactive iodine - Healio A 2018 study found that when a solution of potassium iodide was given prior to thyroid surgery for those with Grave's diseasea condition that can lead to an overactive thyroidit was associated with less temporary hypoparathyroidism and hoarseness. Swelling after thyroid surgery 3 days ago, the left lobe (a 4 cm nodule was on it) and the isthmus ? I love it and my insurance paid for it. He gave me a prescription for a lymphodema treatment. If yours does not, talk to your surgeon about seeing a specialist in physical medicine and rehabilitation (a physiatrist) or a physical therapist who can work with you to improve the flexibility of your neck and design an exercise program to restore your neck mobility. I had the procedure done again the next morning -- (which surprisingly hurt much less than the first one?) Just too much holding against all of the neck structures. The ENT mentioned if it doesn't go away after a while, we can always look into plastic surgery options. Keep in mind that even when complications occur, which is not common, prompt treatment is often successful to restore your health. Hard swelling above incision in the middle of the neck - Reddit The skin above the incision may look swollen after lying down for a few hours. Int J Surg. This is so disturbing. I will be SO GLAD when this is all in the past!!!!! There are a number of short-term side effects that people may experience after thyroid surgery. Its so great to have found a support site and to feel that we are not alone:) My journey with thyroid cancer has been a whirlwind of mixed emotions. Has anyone else had this type of papillary thyroid cancer where your thyroid was normal and they could not locate the primary tumour? After this test, the doctor reduced my dose to 125 mg and I had the second follow up test on April 16, results below: eCollection 2022. Zhang H, Hu S, Wang X, He J, Liu W, Yu C, Sun Z, Ge Y, Duan S. Technol Cancer Res Treat. Very likely that your procedure will be performed under general anesthesia. If your throat is sore or if swallowing is painful, eating a diet of soft foods will be more comfortable. Deep, noticeable lines on your palms and soles Blood test taken in Mar 2013 showed thyroglobulin at 2.9 (limits 2.0 - 70.0). The doc said the swelling would be worse in the mornings due to the loss of so many lymph nodes and subsequent scar tissue. 8 days post total thyroidectomy-swelling? - MedHelp The exact causes of seromas are not clear, but they are common in the breast area of people who have undergone surgery to . Has anyone experienced this symptom after surgery? Most thyroid cancers can be cured with treatment. The https:// ensures that you are connecting to the Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. x\[o~7Ra iOqIhX+v_Y$ To view profiles and participate in discussions please. Talk to your healthcare provider about all the medications you take both prescription and non-prescription. is this normal? Dr. Hay is a genius, Dr. Lee and Dr. Fazzio are amazing at performing the ablation - and I am so happy that I did this - and encourage anyone with recurrence to at least see if they are good candidate for this treatment before getting more surgery. A swollen fingertip, curved nail, and thickening skin above a nail are often signs of thyroid disease. Methods: A retrospective analysis was performed on 246 patients with PTC who underwent total thyroidectomy and central neck dissection from 2004 to 2010. It isn't as obvious visually, but I know there is something not normal in my neck. Your healthcare provider may recommend thyroidectomy for any of the following reasons: Thyroidectomies are a common surgery. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. Lumps on discolored skin that feel hard and waxy can be a sign of thyroid disease. Swollen lymph nodes are often a sign of a viral or bacterial infection, but swelling can. Depending on the surgeon, you may have stitches that will need to be removed or absorbable sutures that will not. I had to advocate just to get blood work. The hardening typically peaks about three weeks after surgery and then subsides over the next two to three months. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. US showed a 1.7cm nodule on my left thyroid lobe & a few swollen LNs on the left of the neck. As the area started to heal & soften, I could feel a swollen LN about 1.5cm sometime in Jan 2013. I had a Total Thyroidectomy with Central Compartment Neck Dissection on August 10. Verywell Health's content is for informational and educational purposes only. How long will hematomas last after thyroidectomy surgery?
