Thyroid nodule surgery

Is surgery necessary for thyroid nodules?

Surgery . A common treatment for cancerous nodules is surgical removal. In the past, it was standard to remove a majority of thyroid tissue — a procedure called near-total thyroidectomy. However, today more limited surgery to remove only half of the thyroid may be appropriate for some cancerous nodules .

How long does thyroid nodule surgery take?

The operation generally lasts from two to three hours. After surgery , you will stay in the recovery room for several hours. You will be monitored closely as you recover from the anesthesia.

What size thyroid nodule should be removed?

Previous studies had shown that between 11- 20% of cancerous nodules ≥ 4 cm may be misclassified as benign (false negative) and this has led to recommendations that all nodules > 4 cm should be removed .

Are thyroid nodules serious?

Thyroid nodules are solid or fluid-filled lumps that form within your thyroid , a small gland located at the base of your neck, just above your breastbone. Most thyroid nodules aren’t serious and don’t cause symptoms. Only a small percentage of thyroid nodules are cancerous .

What makes a thyroid nodule suspicious?

Most thyroid nodules are asymptomatic, non-palpable and only detected on ultrasound or other anatomic imaging studies. The following characteristics increase the suspicion of cancer: Swelling in the neck. A rapidly growing nodule .

When should I worry about thyroid nodules?

The vast majority — more than 95% — of thyroid nodules are benign (noncancerous). If concern arises about the possibility of cancer, the doctor may simply recommend monitoring the nodule over time to see if it grows. Ultrasound can help evaluate a thyroid nodule and determine the need for biopsy.

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Is thyroid surgery serious?

Risks specific to thyroid surgery rarely occur. However, the two most common risks are: damage to the recurrent laryngeal nerves (nerves connected to your vocal cords) damage to the parathyroid glands (glands that control the level of calcium in your body)

Is thyroid removal major surgery?

A thyroidectomy is a common but major surgery with serious risks and potential complications. You may have less invasive treatment options.

How long do you have to stay in hospital after thyroid surgery?

Because of this rare chance of bleeding , we keep you in the hospital for 4 to 6 hours after the operation for observation and in certain cases may observe you overnight in the hospital. Click here to learn about the risks of thyroid surgery.

What size thyroid nodule is worrisome?

If the TSH is normal or high, then most individuals with a thyroid nodule larger than 1.0 to 1.5 cm (1/2 inch) in diameter as well as those with a suspicious goiter need to have a fine needle aspiration biopsy to obtain thyroid cells for cytologic evaluation by an expert pathologist.

Should you remove a benign thyroid nodule?

Generally, benign thyroid nodules do not need to be removed unless they are causing symptoms like choking or difficulty swallowing. Follow up ultrasound exams are important. Occasionally, another biopsy may be required in the future, especially if the nodule grows over time.

Do thyroid nodules cause weight gain?

An unexplained change in weight is one of the most common signs of a thyroid disorder. Weight gain may signal low levels of thyroid hormones, a condition called hypothyroidism. In contrast, if the thyroid produces more hormones than the body needs, you may lose weight unexpectedly.

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Can stress cause thyroid nodules?

Stress alone will not cause a thyroid disorder, but it can make the condition worse. The impact of stress on the thyroid occurs by slowing your body’s metabolism. This is another way that stress and weight gain are linked.

How painful is a thyroid biopsy?

A needle biopsy is less invasive than open and closed surgical biopsies , both of which involve a larger incision in the skin and local or general anesthesia. Generally, the procedure is not painful and the results are as accurate as when a tissue sample is removed surgically.

What foods to avoid if you have thyroid nodules?

Which nutrients are harmful? soy foods : tofu, tempeh, edamame, etc. certain vegetables: cabbage, broccoli, kale, cauliflower, spinach, etc. fruits and starchy plants: sweet potatoes, cassava, peaches, strawberries, etc. nuts and seeds: millet, pine nuts, peanuts, etc.

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