In addition I have had shortness of breath since the surgery even when lying in my bed doing nothing. My problem now is I am so confused and concerned because my actual thyroid and lymph nodes sent to be biopsied after the operation have come back as perfectly clear with no sign of cancer. Are there any clear guidelines anywhere for when swelling crosses the line from normal to abnormal? It&#39;s been 9 days now. I will see the endocrinologist for the first time on 5/31. There can be some minor swelling above the scar; If the patient has lost the notch between the insertion points of the sternocleidomastoid muscles (if no longer concave and now convex) then this is a sign there may be some clinically significant post-op swelling; Any oedema/dimpling of the skin Less hair on your legs, arms, and other areas, Thick, dry, and brittle with visible ridges I too got a Flexitouch lymphedema pump from Tactile, paid for by insurance and love it! The surgery sounds involved. If your endocrinologist recommends thyroidectomy, it may be helpful to ask your endocrinologist and/or surgeon the following questions: Your endocrinologist and surgeon will give you specific instructions to prepare for your thyroidectomy. Columbia Thyroid Center. Federal government websites often end in .gov or .mil. It definitely does, but 5 weeks out and I still have that tightening feeling in my throat and just overall discomfort and like my head/neck feel detached in a way. Xu S, Huang H, Huang Y, Wang X, Xu Z, Liu S, Liu J. BMC Cancer. Lymphedema is more of a softer swelling, it's fluid trapped, it won't be a hard lump or a bump but more of a general swelling of an area. Keep in mind that pain medications can cause constipation, and your healthcare provider may recommend a stool softener and/or laxative. Risk stratification of lateral neck recurrence for patients with pN1a papillary thyroid cancer. I had a tumor embedded in the laryngeal nerve and my half of my right vocal chord doesn't function. Growing more slowly (or quickly) My neck, of course, was sore and stiff and coughing was no funouch!! I would have thought that all swollen LNs detected earlier via US in Oct 2012 would have been removed during TT. I am scheduled to start Dabrafenib (which says not to crush) and Trametinib on Sept 24th for two months in an attempt to redifferentiate my RAI-resistant cancer. 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. May 20, 2019 3:00 PM. I had a total TT and left neck dissection 4 weeks ago and am still recovering from the op. my left shoulder pain and neck swelling is unbearable at the moment ( think that has a lot to do with being back at work last week and working at a computer for most of the day) but otherwise the actual thyroid op went well, no complications with calcium levels and effect to my voice. Some people have to stay in the hospital overnight and can leave the next morning. 2016;95(7):e2812. I alos have pain and tightness in sternal area and towars my left shoulder. It could be an infection. 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. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Your thyroid is a small, butterfly-shaped gland located at the front of your neck under your skin. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. Since then I went for my sonogram and these wer Hi everyone, I've been having thyroid problems for many years, I have a multi nodular goitre, with a cyst on the left lobe. But I don't know if it's because I also had 33 lymph nodes (including way up by my jaw) removed, or if I just suck at recovery. sharing sensitive information, make sure youre on a federal In addition to the swelling I have also symptoms and found this forum. Has anyone else experienced swelling in the neck region so soon after their surgery? I was hypocalcemic last Sunday and woke up today with major neck swelling. I was still finding it difficult to make sense of the results and thought of asking my questions here since the community had been really helpful earlier. doi:10.1097/MD.0000000000002812, Almquist M, Hallgrimsson P, Nordenstrm E, Bergenfelz A. Thanks for listening, Anatomic characteristics, identification, and protection of the nonrecurrent laryngeal nerve during thyroidectomy. Ice packs make me comfortable but once ice wears off, then it stings again. 2017 Jun;69:128. doi: 10.1016/j.oraloncology.2017.04.006. I had a therapist remind me that the fluid is not just outward, but the internal tissues hold fluid too. If your throat is sore or if swallowing is painful, eating a diet of soft foods will be more comfortable. Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. Complications are uncommon, but the most serious possible risks of thyroidectomy include: While these complications are rare, theyre more likely to happen if: If youre concerned about possible complications of your surgery, talk to your surgeon. Could swelling of a LN take place within 2-3 months ?? Did you have swelling after your surgery? Side effects, such as neck pain and stiffness or sore throat, are common after surgery. What is lump in neck after Thyroidectomy? 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. Applying a warm compress may also help. Chronic conditions, in addition to acute conditions, can contribute to chin lumps. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Kate, thank you for sharing your pictures. Ask your provider which medicines you should still take on the day of surgery. My blood work came out perfect, except for sightly high cholesterol & triglycerides, and my eosinophil (whatever that is) was high at 614. will there be complications with surgery? 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". Epub 2016 Dec 2. None of the patients experienced permanent hypoparathyroidism or recurrent laryngeal nerve damage. With the right dose, should I expect the FT3, FT4 and TSH to be within the normal reference ranges? Now I feel a ridge or small obstruction when I swallow. As of today I can only swallow the very smallest pill without it getting hung in my throat. 8600 Rockville Pike In the operating room, you will be in a semi-seated position, with or without your chin tilted back and with support under your neck and shoulders. Sometimes when we tell doctors there is swelling they think we are just one of those whiney women who over react. Thinning (or missing) eyebrows on the outer edge 2022 Dec 1;22(1):1246. doi: 10.1186/s12885-022-10326-8. 2023 Dotdash Media, Inc. All rights reserved, Mary Shomon is a writer and hormonal health and thyroid advocate. Im due for blood work again that was about 8 months ago. Terris DJ, Snyder S, Carneiro-pla D, et al. The tape pulls the skin away, supports the tissues and helps things to feel better instantly for me. But as it grows, it can cause signs and symptoms, such as swelling in your neck, voice changes and difficulty swallowing. I cannot emphasize enough how efficient, caring and absolutely AMAZING each and every person was that I encountered during my 3 days there -- And from the small details to the BIG issues, every moment, every procedure, every appointment progressed in a perfect cadence - it was pure perfection! The https:// ensures that you are connecting to the Of course, during COVID-19, protocols or normal ways of doing things are different. To help you find early (and some not-so-early) signs of thyroid disease on your skin, hair, and nails, heres a checklist. Is it normal to be still swollen after 6 days? 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. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. ThyCa: Thyroid Cancer Survivors' Association, Inc. Goiter (swelling in the neck) We tapped the CDC for information on what you need to know about radiation exposure, Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them. If a specially trained and experienced surgeon performs a thyroidectomy, its generally very safe. eCollection 2022. Pre-operative Lugols iodine treatment in the management of patients undergoing thyroidectomy for Graves disease: a review of the literature, Safety and effectiveness of total thyroidectomy and its comparison with subtotal thyroidectomy and other thyroid surgeries: a systematic review, Outpatient versus inpatient thyroidectomy: A systematic review and meta-analysis. To view profiles and participate in discussions please. After showering, you can lightly pat your neck dry or use a hair dryer set on the "cool" setting. The surgeon says it is very rare, that they cannot source the primary tumor and that the cancer only showed up in a lump towards the left back of my neck. Accessibility I m 58, male otherwise healthy, has been on healthy diet since Oct 2012. 1 Complications occur in only about 3%-5% of patients after thyroidectomy, with tracheal perforation occurring in approximately 0.06% of cases. Avoid any activity that raises your blood pressure for one week (eg. Everything was in check - and I was off for my ablation. This is very common and expected during the first week or two after surgery. The ablation procedure is much like an FNA, though my tumor was deep and it was pretty painful. I did some imaging and positive lymph nodes were seen in my mediastinum. Swollen incision site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. I need advice! Yes, about a week after my TT (performed on August 4th) I had significant swelling on the right side of my neck below the stitches. After total TT on December 28 2020 and RAI on Feb 1 2021, I took 150 mg levothyroxine for 6 weeks and got the first test done on March 15. Please let me know how to keep my sanity after all of this. Recurrence in regional lymph nodes after total thyroidectomy and neck dissection in patients with papillary thyroid cancer. It's only 4 months since my thyroid surgery and one month from RAI. Keywords: I have gained about 15 pounds on top of it all. By using this Site you agree to the following, By using this Site you agree to the following. I am very discouraged. Before doing these, however, make sure to ask your surgeon about their appropriateness for you, any additional exercises they believe might be helpful, how often you should perform them, and whether there are any exercises you should avoid. I am scheduled for RAI end of next week and have been on the low iodine diet for 1 week. Has anyone experienced this symptom after surgery? You have a large nodule or goiter thats compressing your trachea or esophagus and making it difficult to breathe or swallow. It should take about two to three weeks for you to fully recover. Find out what may be causing the itch and what can bring relief. 2018;60:273-278. doi:10.1016/j.ijsu.2018.11.013, Hope N, Kelly A. Pre-operative Lugols iodine treatment in the management of patients undergoing thyroidectomy for Graves disease: a review of the literature. It can smooth out deep wrinkles and lines, but the results arent permanent. Using an over-the-counter (OTC) numbing throat spray, such as Chloraseptic, or numbing lozenges, such as Cepacol, can help with the discomfort until you are healed. Size has not grown since. <> A retrospective analysis was performed on 246 patients with PTC who underwent total thyroidectomy and central neck dissection from 2004 to 2010. Increased swelling, redness, or drainage from the incision. My concern now is that it's been 2 month and 5 days and my neck is still swollen. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Factors predictive of the development of surgical site infection in thyroidectomy - An analysis of NSQIP database. My mom had half her thyroid out due to a benign cyst a year ago and I figured my recovery would be similar to hers plus a tad worse. I am 30 years old. I had a neck dissection where nodes were positive, positive fatty tissue was removed and my thymus (which ended up coming through clear). Then they made my appointments for October 9th. Anatomic characteristics, identification, and protection of the nonrecurrent laryngeal nerve during thyroidectomy. But I do have clearly defined swelling - mostly above the incision, but also below. BMI has dropped from 26 to 25. Bethesda, MD 20894, Web Policies which I can. No labwork has been done since I left the hospital. Find other members in this community to connect with. I even walked the town and went out for dinner after having the procedure -- I felt a bit nauseas that evening, and very tired the next day -- other than little bruising and swelling, I was good to go! My freaking neck hurts! The exercises are actually all about stretching. its hard not fluid I will be back in 3 months for another one or two rounds of ethanol ablation. I would freak out if I started swelling 4 days post op. This article explores common side effects of thyroid surgery, what to expect during the recovery process, and warning signs of complications. Thyroid surgery is often done under general anesthesia with a breathing tube placed in the windpipe, or trachea, to breathe for you. I haven't had RAI yet because I was given iodine in a CT after surgery and was told I had to wait 6 months. Did you find any tricks to help it go away? We do not endorse non-Cleveland Clinic products or services. Lab result was papillary Ca. and they all talk - ongoing talk - just about you! But MAJOR discomfort for awhile after that. I have had issues with swallowing ever since surgery and have had a lot of swelling since three days post-op. You, too, may also be able to spot thyroid disease, and thats important. She has had one removed already. I asked numerous GP's about it and they all said it wasn't attached to anything so should disappear by itself and is probably just a swollen lymph node. Ask your therapist if this is an option for you. its making ankles, swollen fingers and swelling between knuckles. Thanks so much, this group is more knowledgeable and trustworthy than the doctors!! In addition I have had shortness of breath since the surgery even when lying in my bed doing nothing. I should get Tg and TgAb tested after my follow-up iodine scan in August. You should not submerge, soak, or scrub your incision, and bathing in a tub should be avoided until you see your surgeon. Any thoughts on why I am having severe fatigue? There are two main categories of thyroidectomies: Total and partial. There is a lot of swelling afterwards so you have to stay 1 - 2 days in the hospital for monitoring and they use steroids to reduce swelling.

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