Top 20 Doctor insights on: Surgical removal of a substernal goiter
Decades ago iodine deficiency was a common cause. These days the cause of benign enlargement of the thyroid (goiter) is not known. A substernal goiter is an enlarged thyroid that extends from the neck into the chest.
Anyone with an enlarged thyroid should have an ultrasound and most likely a needle biopsy of the gland. ...Read more
Nodule/goiter on thyroid causing a tight feeling in throat normal hormone levels should I ask about surgery for removal?
Yes: A multinodular goiter secondary to hashimoto's thyroiditis will likely decrease or stop functioning over time, but the bulkiness of the goiter does not usually become smaller. If the goiter is compressive and causes difficulty with swallowing or breathing, it should be surgically removed. Medical therapy is available to suppress the goiter and also to treat the hashimoto's. ...Read more
What kind of treatment can I get for a goiter when I am allergic to iodine and do not want surgery?
Goiter: Work with your team, your doc. If you have graves disease and radioactive iodine was recommended, there are several additional medications with benefit. Initial therapy and subsequent result is important for you and your doc to determine subsequent treatments. Don't avoid all care over your iodine and surgery limits. ...Read more
Depends: Surgical indication for thyroid is based on size of the goiter, symptoms of obstruction, and the fna diagnosis. There are times when surgery is a benefit, best to take family/friend with you to surgery consult. In many cases medical therapy and observation is all that is needed. ...Read more
Risk of redo surgery: Second surgery or redo surgery carries increased risk because your surgeon is going through scarred tissue instead of normal anatomy. Typically the surgeon goes slower and small structures like nerves and parathyroid glands are a bit more difficult to identify. Risk depends on the first surgery. If you had one side/lobe removed and now need the other side removed, redo risk does not apply. ...Read more
Dear doc. I have coloid goiter disease, then I want my disease surgery, but doubt. What percentage to sucess if my disease is in surgery? Thanks
No surgery.: To have success in surgery you have to have an objective. You don't get surgery just because you have disease. For goiter, surgery is usually indicated if there is a suspicion of cancer or the goiter has gotten so large that your airway is at risk for compression. Always ask your doctor why your having surgery and "because I said so" is not a good answer. ...Read more
Doc please help me how to remove or lighten and flatten my scar from goiter surgery. I had my surgery 12years ago. Tnx?
Consult with: A plastic surgeon. If the scar is 12 years old, the only solution might be excision and plastic closure. ...Read more
First - do you need the surgery?
Second - is the surgeon trained to do a minimally invasive approach? Recovery from that is usually just a few hours vs overnight in the hospital for more conventional procedures.
Make sure this is an experienced thyroid surgeon who knows his/her way around the neck. ...Read more
Goiter/FNA: The cause of your goiter determines the possible therapies and yes it can be treated medically. Overall size, compression, response to medical therapy, fna biopsy, cancer are important so work with your team of docs. A surgery consult can give you lots of information about the risk/benefit of therapy with surgery. You have choices, good luck. ...Read more
Can a goiter go away on its own? I just had gastric sleeve wondering if I will require another surgery for this goiter or will it regulate?
I had my goiter surgery 12 years ago and left a scar on my neck. I want to make it lighter or thinner, my scar is darker than my complexion. Please help me. Tnx?
May need chest open: Also, if the thyroid now extends downward into the chest, there is a higher likelihood with a second procedure, that the surgeons would need to cut through the collarbone, breastbone, and/or upper ribs to remove all of the thyroid compared to a first procedure. ...Read more
Check out your level:
Please be sure to have your thyroid hormone levels checked again. Maybe they are off and affecting your sleep. Otherwise, I can't explain any other reason for the surgery to affect your sleep this far out afterwards.
Even when your levels are "normal", if you continue to not feel right, find an endocrinologist who will work with you until you feel right. Sometimes a medication switch is needed. ...Read more
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