Im so tired of asking my PA questions and feeling stupid because whatever it is is no big deal, do I thought Id ask you guys. What will be my physical restrictions following surgery? It was fluid from the void where my thyroid used to be. Thanks so much for making me feel so much better today with hope for the future! 10th ed.,Philadelphia: Lippincott Williams & Wilkins (LWW), 2012. Anyway im back out having had some very limited bloods done. July 2010 #5. My doctor told me the swelling will go away but You've attached to a thread from 2009 and none of the previous posters are, currently active on the site, at this time. Typically an expanding hematoma (collection of blood in the wound bed where the thyroid lobe was Talk with your surgeon regarding this issue asap. I should get Tg and TgAb tested after my follow-up iodine scan in August. I immediately started combing through research papers (again) using different keywords than I had in the past .this time "recurrence" "undetectable TG + recurrence" "surgery alternatives" etc and came upon ethanol ablation. Kimcam how's the incision? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. All I could think about all day was my neck. My surgeon prescribed thyroid replacement meds and I had to have my blood pressure medicine changed due to a recall. and we flew back home that afternoon. Heres a photo of myself this morning. All went well with the surgery, although it was a LONG one (over 10 hrs). I alos have pain and tightness in sternal area and towars my left shoulder. 2 0 obj Good luck to you and keep us updated on your progress. Factors predictive of the development of surgical site infection in thyroidectomy - An analysis of NSQIP database. Hyperthyroidism is typically treated with either anti-thyroid drugs, radioactive iodine, or surgery. Hi All, But if severe symptoms occur, intravenous calcium, which is delivered through a vein, in the hospital may be required. This nerve controls the muscles that move the vocal cords. Lymphedema of the Neck after total Thyroidectomy - Thyroid cancer - Inspire can the surgery be done soon before or during the provra treatment? The doc removed 85 lymph nodes, with several on the larger side, and 25 came back positive for papillary. The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Lymphedema and swallowing issues after surgery, Papillary and follicular thyroid cancer (differentiated), Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants, Lymphedema of the Neck after total Thyroidectomy. During this time, the staff will monitor you closely for any signs of neck swelling that could indicate a neck hematoma. 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". She said "you will need RAI but I'm not sure whether you need it before or after I will talk to my colleague at Wash Hosp Center - they just started doing ethanol ablation" As of today I can only swallow the very smallest pill without it getting hung in my throat. Till then, I m concerned & will like to seek advice from those who have gone through this experience. However, that information will still be included in details such as numbers of replies. The ENT doctor will perform a procedure called a direct laryngoscopy to visualize the vocal cords and see if a tracheostomy, an incision in the neck for breathing, is needed. Last week out of the blue my left cheek near my ear felt "bruised". When things get really full, sometimes I use kinesio tape in addition. Very likely that your procedure will be performed under general anesthesia. Find out what can help. I have no clue what is "normal" on part of my discharge papers it says swelling can last for up to 4 weeks, in another part it says to call the doctor if there is swelling. What Do Herpes Sores Look Like at Different Stages. Find out how a board-certified dermatologist helped Natalie see clear skin before her wedding. Diabetes mellitus and other endocrine diseases. In Wolff K et al. Are there other forms of treatment for my condition? After these results, he has reduced the dose to 100 mg and 125 mg on alternate days and get these tests done again in 4 weeks. Be sure that you know what your at-home treatment regimen entails (medication, supplementation) and how to take any pain medications prescribed, if applicable. It does get better though, just slowly. the whole area (including right under my chin) is huge. I am 20 days post-op total thyroidectomy with central and left neck lymph node removal. 2 Tracheal perforation related to thyroidectomy is usually detected during surgery, and recovery without major complications is possible with . Oh and how long did your coughing last. Lift up 8 weeks -- My TSH has been adequately suppressed (0.02) TG levels undetectable and No TG Antibodies. )L{`,;0|ZE&wn)*SEo{n>xl|ZG[LqXe9|F9"6X)<5*S #e'om. You have a large goiter that goes below your collarbone into the top of your chest (substernal goiter). Darker skin in the creases of your palms, on your gums, or elsewhere in your mouth In the multivariate analysis, tumor size >1cm (odds ratio [OR], 8.14; 95% confidence interval [CI], 1.01-65.68; p=0.049) and central LN metastasis (OR, 10.59; 95% CI, 1.32-85.17; p=0.026) were independent predictive factors of lateral LN recurrence. It came after resuming some "normal" activity and to be truthful, lifting a few things I shouldn't have. If found, a pathologist will check the lymph node sample during surgery for evidence of thyroid cancer. During a thyroidectomy, there are a few ways your surgeon can access your thyroid, including: Depending on your situation, your surgeon will remove: During surgery for a thyroid cancer diagnosis, your surgeon may sample lymph nodes around your thyroid gland. If hypocalcemia is severe, the condition can progress to symptoms of abnormal heart rhythms (arrhythmias), difficulty breathing (due to muscle spasms in the voice box), kidney stones, heart failure, and/or seizures. It was just so so hard to breathe with this neck and then the clogged sinuses. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. I was basically cut from ear-to-ear plus another cut on the left side neck almost perpendicular to the main cut. Hope you feel better soon! All of that to say that my surgery was very involved. Call your surgeon. ?r4H`$4o.V& I was just wondering if anyone has experienced pain to the touch in their neck weeks following a neck dissection. I am hoping a giant syringe is not in my future today. Has anyone else experienced this? During this time, your healthcare provider will monitor your calcium levels to determine when you can stop using your supplements (or much less commonly, if you will need to continue these indefinitely). Policy. endobj Zhao W, You L, Hou X, Chen S, Ren X, Chen G, Zhao Y. Ann Surg Oncol. Penny. (second edition). I had the procedure done again the next morning -- (which surprisingly hurt much less than the first one?) Has anyone else experienced this? Since the generally accepted indication for total thyroidectomy i Hematomas are collections of blood. Before you leave the hospital, your healthcare provider will go over any instructions and talk about when you should follow up with your surgeon. I am gaining weight and now my legs and feet are swelling a lot, like twice the normal size. Should that number go lower though? But it definitely wouldn't hurt to contact your doc for piece of mind or ideas of what to do. New upper neck mass after thyroidectomy, radioactive iodine - Healio A seroma is a fluid-filled pocket that can develop after breast surgery. I have lost 15 lbs because I am limited in what I can eat. Now I feel a ridge or small obstruction when I swallow. Most of your thyroid (near-total thyroidectomy). The only thing that's resulting from this is soreness and stinging on each end of the incision, plus it appears to look more swollen afterwards. I had a total thyroidectomy Jan 8, 2018 because I had eight nodules on my thyroid which by the grace wasn't cancerous but two where growing larger and began making me feel like someone hands were around my neck. Doctors typically provide answers within 24 hours. I hate the thought of more surgery after going through TT and neck dissection. It is uncommon, but when it occurs after thyroidectomy, it is usually associated with Grave's disease. 2016;95(7):e2812. Using pain medication after surgery may reduce discomfort, making it easier for you to keep moving your neck so that you have less stiffness later on. My question goes out to anyone with the bilateral neck dissection. Impact of potassium iodide on thyroidectomy for Graves disease: Implications for safety and operative difficulty. Seek urgent medical care if you experience any swelling of your neck, increased pain, shortness of breath, fever, or difficulty breathing. Let them know what is going on, and ask to be seen. Any thoughts on why I am having severe fatigue? I am scheduled for RAI end of next week and have been on the low iodine diet for 1 week. 2014 Jun;271(6):1355-60. doi: 10.1007/s00405-013-2630-x. Federal government websites often end in .gov or .mil. A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. 1 Complications occur in only about 3%-5% of patients after thyroidectomy, with tracheal perforation occurring in approximately 0.06% of cases. doi:10.1097/MD.0000000000002812, Almquist M, Hallgrimsson P, Nordenstrm E, Bergenfelz A. [deleted] 2 yr. ago Ok thank you. Post-thyroidectomy patients have a central neck scar. Hoping someone here can reassure me. Please enable it to take advantage of the complete set of features! Thyroid cancer support group and discussion community. Additionally, I have also been experiencing significant hair fall which is really disheartening. I did some imaging and positive lymph nodes were seen in my mediastinum. New upper neck mass after thyroidectomy, radioactive iodine ablation for thyroid cancer Endocrine Today | A 24-year-old with bilateral pain in her upper neck inferior to her ears and. For me the incision site wasFor me the incision site was decently swollen for about 1 week, but it is still (since march) got a bit of a bump across the scar (about the thickness of a pencil).When is your followup for your surgery?