Types of Thyroid Cancer Papillary

thyroid cancer papillary via medindia.net

Hi I'm Gary Clayman of the claim and thyroid cancer center of Tampa Florida thyroid lobectomy in my opinion for some patients should be the preferred surgical procedure for

thyroid cancer it has to fit them number one and it also has secured their thyroid cancer but if

they can do both then in my opinion it's the preferred surgical procedure the big benefit of

just removing part of the thyroid gland is that you have some normal thyroid tissue now if

you can't save normal thyroid tissue then it's the wrong surgical procedure but if you have

normal thyroid tissue and it makes it easier for the endocrinologist to give your hormone

replacement even if it's necessary you know about half of patients if you remove half their

thyroid gland they won't even need thyroid hormone replacement the other half will need a

supplement but it will supplement what the gland already naturally produces and it's much

easier for them to maintain their sense of well-being not gain weight not feel all the potential

 issues that the rare patient but some patients that have all their thyroid glands just don't ever

feel right again there's really no risk unless it's the wrong surgical procedure and I think that's

 talking about finding the right team to treat you right surgeons the right endocrinologist that

 communicate and partner together in your care I think I think that's critically important any

surgery harbors risk the risk of removal a part of the thyroid gland is far far less than removal of all the thyroid gland frankly in my opinion I don't I don't think that any occasional

surgeons should be doing thyroid surgery at all I think it sort of has sort of this mystique that

this is really a very simple surgical procedure but actually it's not there are all sorts of critical

 structures underneath there but when you're doing thyroid surgery just removing half of the

thyroid gland only half of the critical structures they're at risk in thyroid surgery are at any

theoretical risk the other half are not even approached but the nerves to the Voicebox both

 the sensation nerves and the movement nerves the glands of control calcium are risk and just

part of thyroid surgery but if you just remove part of the thyroid gland you cannot damage all the glands of control calcium so it drastically reduces the risk of the thyroid surgery in my

opinion occasional cirrage surgeons should not be doing thyroid surgery but if they are doing

they should not be doing total xxx well I think selecting the right surgeon is probably the

most important task when you're talking about thyroid surgery or thyroid cancer because it is

 the most effective therapy that we know that's number one number two you you really need

to talk to people and how do you talk to people on how you know you need to talk to people

 that are involved in the hospital that those individuals work in in particular potentially

operating room nurses operating room surgical technicians even anesthesia people word of

mouth is very important the internet is full of all sorts of means of finding out what people's

experience may or may not be or at least what people say about them and so you can use that

as a resource you need to talk to the surgeon and you need to find out from the surgeon what

is their real experience have they done a residency have they done a fellowship what was it in

 how many years have they been practicing what is the scope of their practice how many

patients do they see per year with thyroid surgery and thyroid cancer I can tell you after you

know eight thousand thyroidectomies my surgical procedure is significantly different than it

was you know you know five thousand five or ten years ago it's it is it is different and you do not make the same errors that used to make you're much more cautious where you need to be

 cautious you've seen the things time in and time out again but some things you see very very

rarely and that level of experience is very important there was a very important publication

that looked at thyroidectomy United States and you know a large I mean an alarming

percentage of radec Tamizh are performed by individuals that do less than 10,000 ectomy a

year less than 10 pirate ex music so that's less than once a month so the far majority I mean

this is you know we're talking and I don't know what it is today but I know what it was you

know at least in the survey of that publication and you're talking you know in the high 85 90

percent of surgery for thyroid cancer is being done by occasional thyroid surgeons I personally

wouldn't want them to do my surgery or my family surgery but that's what happens in the

general public now there sometimes it's circumstances just don't allow you know you may be in

a very very place and not have the means to find someone of significant experience but if you

would I would seek out that Maserati mechanic it's really the whole evaluation process so for

 example the ultrasound machine that I purchased for thyroid cancer center is an incredibly

expensive device and it's very very important the the level of specificity of this machine is

just incredible but I tell patients that it it's the whole package it's not just the machine it's the

transducer that's producing the sound waves it's the technician that has the experience just like the surgeon that you want to see how experiences that ultrasound technician have looking at

the neck in order to determine whether you're the right patient for a minimal surgery or in

fact you have a very very small lymph node that is spread of your thyroid cancer and that

lymph node if it's not detected prior to the surgery or at the time of surgery will be missed and you'll be one of the eleven percent of patients that still has disease after initial surgery so I

think you need to be evaluated in a real center of excellence so you may have an outstanding

and Akron ologist that's diagnose the problem but then you need to have that excellent

ultrasound machine that extra that excellent technician that's holding that excellent

transducer the radiologist that's so excellent in interpreting those images obtaining the needle

biopsies the cat scanner that is actually made and calibrated for patients that have very cancer

so they have a very very highly sensitive study that meets the needs of a thyroid cancer

patient so the evaluation needs to be at that level the surgery needs to be at that level and and

then when you get to further management making the decisions of what you require for you

 thyroid cancer you need to be with an endocrinologist that understands your particular need

so this was all really personalized what do you need what do what do you need to effectively

 manage your cancer what do you need in order to effectively have the hormone balance so

that you feel exactly like you felt like before your surgery so you can go on in the next

chapters of your life and live them the way that you really are meant to leave with them

based upon several different issues it may be the right surgical procedure for you because of the

 disease process that you have so sometimes it's fabric cancer but there's also indications for

total thyroidectomy for even non thyroid cancer but from a thyroid cancer perspective if the

 cancer has broken outside of the confines of the thyroid gland and is growing into the soft

tissues that's a more significant diary cancer than one that is totally confined within the

thyroid now those that are totally confined within the thyroid are the far far far majority so

and those that have broken outside of the capsule of thyroid are usually much more subtle

insurgent should be attuned to that and at times if they see that's the case you can take a little

piece of muscle that is over the top of the thyroid gland to make sure that you've addressed all

the microscopic cancer and dealt with that significant issue and made it an insignificant issue

but if the thyroid cancer has spread to lymph nodes and in particularly now we're talking about differentiated sir if it is spread to lymph nodes then almost in all circumstances the preferred

 surgical procedure is to remove the whole thyroid gland it does offer benefits it offers an

differentiated thyroid cancer the ability to monitor you with blood tests that look at thyroid

globulin as a measure of the thyroid cancer sometimes that's a little bit of a two-edged sword

because sometimes there's a little bit of thyroid globulin that may be detectable and it may not

 be significant for you as a patient so sometimes patients want their thyroid globulin to be

zero and I caution patients sometimes you're just looking at a number and not necessarily

something to be concerned about but so it's personalized and so you want to have the right

surgery for you so if the thyroid cancer is more aggressive growing outside of the thyroid

gland if it is spread to lymph nodes then those are two indications to remove all the thyroid

gland some other thyroid cancers like for example medullary thyroid cancer it's really the

preferred surgical procedure in almost all circumstances of mental arithmetic cancer so that's

 that's sort of the basics of where we tend to differentiate removal part of the thyroid gland

versus all the thyroid gland in some very rare circumstances where you have really really

aggressive thyroid cancers and these are very cancers that our paralyzing the Voicebox

growing into the swallowing tube the esophagus growing extensively into the soft tissues and

the other side of the thyroid gland is totally normal there may be some circumstances then

that a total thyroidectomy isn't necessary to address all the disease and radioactive iodine will

be less important for you as a patient in the treatment of your disease these than other

treatments for example external beam radiation therapy for the most highly aggressive of

thyroid cancers which is the farm minority of nations the reality of it is is that except in the

most rare circumstances there's no urgency to proceed with surgery for thyroid cancer now

you may have a sense of urgency that you want to be evaluated not I have no problem with

that but rushing into surgery is the wrong thing there are rare circumstances where there are

very aggressive thyroid cancers the anaplastic thyroid cancer which truly is an emergent

surgery if surgery is going to be reasonable for that particular type of thyroid cancer then I

proceed in an urgent fashion or a patient presenting with a rapidly expanding mass and a vocal cord paralysis and very significant changes in the voice that's when evaluation and surgery

Related: Most Common Type of Thyroid Cancer

should be prompt but in almost all of their circumstances which is really what we're talking

about you need to put your foot on the brake do your homework find the right doctors find

the right team find the right people that you feel like you can communicate with and

understand you that have the tools to appropriately evaluate you and then the skillset to treat

 you so that that's the most important thing you should do is not be in a hurry and make sure you have all those pieces of the puzzle put together.

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