Thyroid No Surgery: A patient’s Own Story
Do you recommend Santa Monica Thyroid Diagnostic Center? Yes
The patient had an appointment for the surgery when she continued to have doubts that thew surgery was necessary. She was very nervous and fearful of having cancer. Her local PMD and surgeon recommended surgery. When she arrived and calmed down I did my exam and diagnostic neck ultrasound. The TFT’s with antibodies was consistent with Hashimoto’s thyroiditis. The initial biopsy done by a radiologists in here hometown was called class III suspicious for cancer. I reviewed the biopsy and called it inadequate for diagnosis. By biopsy and molecular marker tests was benign consistent with nodules in Hashimoto’s. Her doctors had insisted she have surgery and had set up another surgery date.
Key points from this patients case.
1. Never be pushed into thyroid surgery without outside expert opinions.
2. There is never a reason to rush into surgery.It is elective not emergency and there is time for outside opinions.
3. This patient did not need surgery at all.
4. Some may need a safer surgery of only taking a lobe instead of the whole thyroid.
5. Some patients may need a lobe removed but have a benign follicular tumor that just looks like a papillary thyroid cancer and do not have cancer at all.
6. Some have very small papillary cancer <1.3 cm that does not require immediate surgery and are followed for years without a change in size. This is Active surveillance.
7. A few may grow a few millimeters in follow up and are then sent to surgery.
8. Most may never have any change in size and it just sits in the thyroid and is harmless.
Call or email me for my expert opinion before you go under the knife. Thyroid surgery is safe but it is a not if you don’t need it.