Thyroid Cancer Surgery is not an Emergency. Take time to ensure that the first surgery is the last.
The first operation is the most important operation. Pre-surgery ultrasound on the neck can find and diagnose local regional lymph node involvement and change the surgery to include a complete compartmental resection to follow the total thyroidectomy. Do it right the first time.
Up to 57% of reoperations for thyroid cancer are preventable and a direct result of incomplete initial surgery.
Kouvaraki M. Preventable reoperations for persistent and recurrent
papillary thyroid cancer. Surgery 2004
Image of a suspicious neck lymph node was positive for thyroid cancer. It changed the original surgery to total and lymph node resection instead of just thyroid resection alone.
Detailed endocrine neck ultrasound needs to be done on all thyroid cancer patients BEFORE the first surgery.