Thyroid cancer is generally indolent but can be dangerous if left untreated and unchecked. A neck mass can mean more than just an infection — it may be a sign of a more advanced form of cancer. Growths and tenderness around the neck, and even changes in your voice, should not be ignored, as these can be signs of an underlying growth that needs attention. Any such symptoms require accurate diagnosis for the most appropriate treatment plan.
Thyroid and endocrine surgery treats conditions of the thyroid and parathyroid glands, including goiters, nodules, thyroid cancer, and parathyroid disorders, with careful attention to preserving the nerves that control the voice.
When it may be needed
- A growing or large goiter causing pressure symptoms in the neck
- A thyroid nodule that is suspicious or confirmed cancerous on biopsy
- Hyperthyroidism that is not controlled with medication
- A parathyroid tumor causing elevated blood calcium
Warning signs
- A visible or palpable lump in the neck
- Difficulty swallowing or breathing
- Voice changes or persistent hoarseness
- A nodule that grows quickly
What to expect
- An ultrasound and, when needed, a fine-needle biopsy before surgery
- Partial (lobectomy) or total thyroidectomy, depending on the case
- Nerve monitoring during surgery to help protect the nerve controlling the voice box
Recovery
- Usually a one to two day hospital stay
- Some temporary hoarseness is possible while the voice recovers
- Lifelong thyroid hormone replacement if the entire thyroid is removed
Go to the nearest emergency room right away for sudden difficulty breathing or swallowing, or rapid neck swelling after surgery.
This is general health information and not a diagnosis. Please consult a doctor for advice about your own condition.
Patient Questions About Thyroid & Endocrine Surgery
What are the signs I may need thyroid surgery?
A visible or growing neck lump, difficulty swallowing or breathing, a suspicious nodule found on ultrasound or biopsy, or voice changes can point to a thyroid condition that may need surgery.
Will I need to take medication after thyroid surgery?
If the entire thyroid gland is removed, you will need to take daily thyroid hormone replacement for life. If only part of the thyroid is removed, some patients maintain normal hormone levels without medication.