question-icon

Suggest Treatment For Cancerous Mass In The Left Lobe Of Thyroid

default
Posted on Thu, 24 Sep 2015
Question: i was just diagnosed with left Thyroid cancer due to a large mass on left thyroid . Can I just have a portion of the thyroid removed instead of entire thyroid? Also can thyroid cancer spread to lymph nodes if not treated?
doctor
Answered by Dr. Vivek Chail (19 minutes later)
Brief Answer:
Total thyroidectomy is a recommended treatment if cancer mass is large

Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. It is important to read through your imaging reports to know the size of the cancerous mass in the left lobe of thyroid.

2. Very often the cancer might spread by micro invasion. This is a process by which the cancer cells might proliferate to adjacent normal thyroid tissue without any obvious features of infiltration to the eye.

3. This micro invasion might cause a recurrence of cancer or more aggressive form of cancer if only part of the thyroid is removed when the patient has a large cancer mass.

4. For better treatment outcome, doctors plan total thyroidectomy in cases of thyroid cancer which is large and confirmed in one lobe. Many patients are on daily thyroid hormone replacement and lead a normal life.

5. Your cancer might still be in early stage and therefore no lymph nodes are enlarged. If left untreated then there might be lymph node involvement in few weeks to months. Once lymph node involvement is visualized then the staging in more and the disease is advanced. Treatment of advanced stage disease is difficult. Having a cancer requires you to follow up with your doctor regularly.

Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Vivek Chail (29 minutes later)
Thank you Dr XXXXXXX Chail for answering my question in detail.
the size of my left thyroid lesion is 7.0 x 4.0 x 6.0 cm and a small right thyroid nodule as well that is 3.7 x 1.8 x 1.1 cm.
It sounds like I have to have entire thyroid removed, do you agree?

(lymph nodes are normal and left lymph node is 1.8 x .6 x .6 cm)

Thank you so much.

XXXX
doctor
Answered by Dr. Vivek Chail (11 hours later)
Brief Answer:
The mass is large in your case and requires total thyroidectomy

Detailed Answer:
Hi,
Thanks for writing back and sorry for late reply.


1. Your thyroid mass is large and since there is a nodule in the opposite lobe therefore total thyroidectomy is a recommended treatment.

Hope your query is answered.
Please do write back should you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6857 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Cancerous Mass In The Left Lobe Of Thyroid

Brief Answer: Total thyroidectomy is a recommended treatment if cancer mass is large Detailed Answer: Hi XXXXXXX XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. It is important to read through your imaging reports to know the size of the cancerous mass in the left lobe of thyroid. 2. Very often the cancer might spread by micro invasion. This is a process by which the cancer cells might proliferate to adjacent normal thyroid tissue without any obvious features of infiltration to the eye. 3. This micro invasion might cause a recurrence of cancer or more aggressive form of cancer if only part of the thyroid is removed when the patient has a large cancer mass. 4. For better treatment outcome, doctors plan total thyroidectomy in cases of thyroid cancer which is large and confirmed in one lobe. Many patients are on daily thyroid hormone replacement and lead a normal life. 5. Your cancer might still be in early stage and therefore no lymph nodes are enlarged. If left untreated then there might be lymph node involvement in few weeks to months. Once lymph node involvement is visualized then the staging in more and the disease is advanced. Treatment of advanced stage disease is difficult. Having a cancer requires you to follow up with your doctor regularly. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek