A 42-year-old female asked:
dec 2006 total thyroidectomy for papillary carcinoma & neck dissection bc in nodes...now us shows tissue in thyroid bed...what is it ?
3 doctor answers • 4 doctors weighed in
General Surgery 27 years experience
Biopsy to know.: Recurrence of the thyroid cancer in the "thyroid bed" can occur. Given your disease seven years ago i would be suspicious of that. You can confirm or rule out that with: a biopsy, a metascan, follow-up thyroglobulin levels (if done regularly since) a pet/ct. It could certainly be something else/benign but i would have it thoroughly evaluated before coming to that conclusion.
Endocrinology 43 years experience
Residual thyroid: The surgeon cannot remove every last remnant of thyroid. This is why RAI is often given after thyroidectomy, to mop up any residual thyroid tissue-normal or cancerous. The US may just be detecting residual thyroid that the surgeon did not get. See your Endocrinologist.
Head and Neck Surgery 32 years experience
Left over thyroid: It is impossible to get all of the thyroid out. It is likely a bit was left off of the superior lobe, at berry's ligament, or a pyramidal lobe that was not appreciated at the time of surgery.
Last updated Mar 15, 2018
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