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Doctor insights on: Scar Tissue Post Total Thyroidectomy

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Can scar tissue after thyroidectomy appear 5 years later?

Can scar tissue after thyroidectomy appear 5 years later?

Scar tissue?: Scar tissue typically forms and reforms for the first 12-18 months after any surgery. If scar tissue continues to grow after that in may be something else - keloid, lymph nodes, etc. Or in the case of thyroidectomy you may have thyroid tissue that has begun growing again in that area. If this is suspicious or if your original surgery was for cancer i would recommend a biopsy. Make an appointment. ...Read more

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Tissue (Definition)

The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more


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Just had a completion thyroidectomy 9 days ago. Wht is the best cream/brand to use on my fresh scar? Pls help me! its very fresh obvs!

Just had a completion thyroidectomy 9 days ago. Wht is the best cream/brand to use on my fresh scar? Pls help me! its very fresh obvs!

Usually nothing: Post surgical scars and trauma scars can usually do well on there own. There are many products that claim to help, but there is little proof. That being said, many feel they can help. Go to the first aid aisle at any pharmacy. Always remember to not get too much sun exposure on the incision for that first year after surgery (sunscreen). Hypertrophic scars can be treated too. ...Read more

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Dr. Bogar: how many successful total thyroidectomy surgeries have you performed on adults? And, is there a way to ensure that the scar isn't too bad?

Dr. Bogar: how many successful total thyroidectomy surgeries  have you performed on adults? And, is there a way to ensure that the scar isn't too bad?

Lots and Yes: I perform approximately 2-3 thyroid surgeries per week on adults. There are 2 approaches i currently use to minimize or avoid neck scar. First, i typically make as small an incision as possible. Second, in appropriately selected patients, i offer robotic assisted thyroidectomy which allows me to take out the thyroid through an incision in the armpit and therefore totally avoid a neck incision. ...Read more

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I am 2 weeks post total thyroidectomy. My scar is now burning and feels tender. I's that normal? No signs of infection

I am 2 weeks post total thyroidectomy. My scar is now burning and feels tender. I's that normal? No signs of infection

Likely nerves: This is likely due to the recovery of sensory cutaneous nerves from the cervical plexus that may have been compressed or injured during he incision. For the most part these will recover with very little sequelae. Hypersenstitivuty is common in any early wound. Please discuss with your surgeon as other causes could be responsible such as suture sensitivity. ...Read more

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Firm, non-tender, crescent-shaped lump above total thyroidectomy scar three weeks post-op. Would massage be of benefit, or should I give it time?

Yes: massage+time: This may benefit from time and massage. However there may be another minor problem such as suture abscess or hematoma. This may require incision and drainage or aspiration or injection. Your surgeon is the best person to determine this. ...Read more

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2 wks post op thyroidectomy. Skin pulls up when I swallow. The MD had a term for it but I can't remember ? Suggested I massage scar manually. Name?

Scar tissue: After some types of surgery one may develop adhesions that are fibrous bands and I think that is what your surgeon was referring to. Also the surface of the skin may have a scar. His/her suggestion is well taken. Use a good hand lotion when massaging.Be gentle. ...Read more

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How much tissue is left behind after a total thyroidectomy ?

How much tissue is left behind after a total thyroidectomy ?

Ideally none: A total thyroidectomy is done to remove all visible or gross thyroid tissue. We know as surgeons, that despite out best efforts, there may be a small amount of tissue left behind. That is why it is important to have post surgical radioactive iodine therapy if you are being treated for thyroid cancer. ...Read more

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To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?

To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?

Depends: The dose is related to the risk of recurrent disease. The larger the primary tumor, the higher the risk. In your age group (under 45 yo) the risk is relatively low, even with having a positive lymph node. The recommended dose would be as low as 30 mci or as high as 100. ...Read more

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Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?

Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?

It depends : That would depend on the original diagnosis and reason for thyroidectomy. If it was for benign modular disease or goiter then it shouldn't be necessary. If it was treatment of cancer then it is probably advisable but there are other factors that would need to be explored with your doctor. ...Read more

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I still have high thyroid perox AB levels after a thyroidectomy(cancer). Are high levels normal or could there be some thyroid tissue still? Thx

I still have high thyroid perox AB levels after a thyroidectomy(cancer). Are high levels normal or could there be some thyroid tissue still? Thx

Antibody is not: dependent on thyroid tissue. The body makes antibodies by different cells than the thyroid. The antibodies can persist even if no thyroid tissue is left. ...Read more

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My thyroid us report. Right thyroidectomy. Hypoechoic nodule in isthmus. .8 x .8 x 1.8 hypoechoic focus in right thyroid bed. No normal tissue in r?

My thyroid us report.  Right thyroidectomy. Hypoechoic nodule in isthmus.  .8 x .8 x 1.8 hypoechoic focus in right thyroid bed.  No normal tissue in r?

Thyroid ultrasound: By reporting "Right thyroidectomy" it is generally understood that the right thyroid lobe is surgically absent or has been removed. The .8x.8x1.8 hypoechoic focus in the right thyroid bed would suggest that there is something in the soft tissues behind where the thyroid was removed that is showing up. This could be a parathyroid gland, lymph node or something else. Get back with your doctor. ...Read more

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Dec 2006 total thyroidectomy for papillary carcinoma & neck dissection bc in nodes...Now us shows tissue in thyroid bed...What is it ?

Dec 2006 total thyroidectomy for papillary carcinoma & neck dissection bc in nodes...Now us shows tissue in thyroid bed...What is it ?

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. ...Read more

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I just had ultrasound of my thyroid. I was wanting explanation of the report. I had a right thyroidectomy in 2004. The report says left lobe is normal. There is no normal thyroid tissue seen on right side. There is a tiny hypoechoic nodule in isthmus.

I just had ultrasound of my thyroid.  I was wanting explanation of the report.  I had a right thyroidectomy in 2004.  The report says left lobe is normal. There is no normal thyroid tissue seen on right side.  There is a tiny hypoechoic nodule in isthmus.

Easy: The thyroid has 3 parts. Right lobe, Left lobe and the connection between them, the Isthmus. Right side is gone, consistent with your surgery. Left side has no abnormalities seen by the ultrasound. The isthmus has a tiny nodule seen that is hypoechoic. US uses sound echos. Hypo means that it is less dense than surrounding tissue - likely fluid filled = cyst or black spot on the image. ...Read more

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I've had total thyroidectomy & neck dissection & 2 rai treatments, ultrasound found tissue in thyroid bed, what does this mean?

I've had total thyroidectomy & neck dissection & 2 rai treatments, ultrasound found tissue in thyroid bed, what does this mean?

Left over tissue: What you describe could be scar, left over normal thyroid tissue, or thyroid cancer. Ultra sound guided fine needle biopsy, +/- molecular markers and a thyroglobulin wash out can give you the answer. ...Read more

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Thyroidectomy 2 months back&I131 therapy 1week back 2 inactivate remnant tissue.Hav dizziness, tiredness, sleepy.Hear moaning while sleeping, reason?

Thyroidectomy 2 months back&I131 therapy 1week back 2 inactivate remnant tissue.Hav dizziness, tiredness, sleepy.Hear moaning while sleeping, reason?

Call your doc: Would definitely recommend that you call 1 of the docs involved in your care and have a thorough physical, including labs. While some of the symptoms you describe are common following I131, some others I do not recognize as side effects. Electrolyte abnormalities are notorious in the recovery period. Did you already start taking thyroid replacement pills? ...Read more

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How long does a total thyroidectomy take?

How long does a total thyroidectomy take?

Thyroidectomy: Total thyroidectomy time varies drpending on how is it done, size of the thyroid and body habitus. Minimally invasive technique in experienced hands takes less than 30 min. ...Read more

Dr. Barry Press
1,954 doctors shared insights

Scarring (Definition)

A scar is the result of the body healing. It is the end product of a long cascade of signals and cellular repair that takes approximately a year to complete, and a lifetime to maintain. It is a normal process that occurs whenever ...Read more


Dr. Ed Friedlander
1,979 doctors shared insights

Scars (Definition)

Scar = fibrous tissue that forms ...Read more