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Auburn, AL
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 answers4 doctors weighed in
Dr. Scott Schneider
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.
Dr. Philip Kern
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.
Dr. Brendan Stack jr., md, facs, face
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.

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Last updated Mar 15, 2018
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