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Macmillan and Cancerbackup merged in 2008. Together we provide free, high quality information for people affected by cancer through our publications, website and phone service. Find out more|.
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The first treatment for cancer of the thyroid is usually an operation. When the cancer is detected and removed early, most people have an excellent chance of being cured completely. Your surgeon will explain to you the type of surgery that you need.
If the cancer has spread beyond the thyroid gland, surgery alone may not cure the cancer and you will often need a combination of treatments. Your surgeon may still recommend that the thyroid gland is removed as this can help to control symptoms.
It isn’t always possible for the doctors to make a diagnosis of cancer before surgery. In this situation, the surgeon will remove the affected lobe of the thyroid gland so that it can be examined under a microscope. If the diagnosis of cancer is confirmed, the remaining lobe will often be removed as well, during a second operation.
In people who have stage 1| papillary or follicular thyroid cancer it may be possible to remove only the affected lobe of the thyroid (partial thyroidectomy or lobectomy); however, it is far more common for the surgeon to remove the whole gland (total thyroidectomy).
The reason for this extra surgery is to make sure that as much of the cancer is removed as possible and to examine the thyroid very carefully in case cancer cells are present in other parts of the gland. It also means that treatment with radioactive iodine| is then possible.
Sometimes the surgeon removes and examines some, or all, of the lymph nodes close to the thyroid gland, to see whether the cancer has spread into them. This can help to reduce the risk of the cancer coming back after surgery.
Occasionally, it may be necessary for the surgeon to remove some of the tissues in the area around the thyroid gland.
This may be done if:
Sometimes the surgeon will have to remove part of the tube through which you breathe (trachea) and make an opening in the throat to allow you to breathe (tracheostomy).
Sometimes surgery is the only treatment needed for thyroid cancer, but your doctor may also recommend radioactive iodine or external radiotherapy|.
Radiotherapy aims to destroy any cancer cells that may be left, or to treat any cancer that has spread to other parts of the body.
You will be encouraged to start moving about as soon as possible after your operation. This is an essential part of your recovery and, even if you have to stay in bed, it’s important to do regular leg movements and deep breathing exercises. The physiotherapist will help you with these. To ensure that you can breathe easily after the operation, the nurses will make sure that you are lying in a semi-upright position.
You will have a drip (intravenous infusion) to replace your body’s fluids until you are able to eat and drink again - usually within 24 hours. One or two tubes (drains) will drain fluid from your wound. These are usually removed within 48 hours. If clips are used instead of stitches to close the wound, these will be removed before you go home.
You will probably have some pain or discomfort after your operation and your doctor will prescribe painkillers for you.
If you find they are not helping, let your nurse know as soon as possible so that the drugs can be changed.
You may find it painful to swallow for a short time and you may need to eat soft food. The nurses, or a dietitian, will discuss this with you before you go home. It’s important to maintain a balanced diet. If you are finding it difficult to eat, nutritious drinks are a good way to supplement your diet.
Our eating well| section has details of different nutritious drinks and supplements.
Most people are ready to go home about 2-3 days after their operation. If you think that you might have problems when you go home (for example, if you live alone or have several flights of stairs to climb) let your nurse or the social worker know when you are admitted to the ward. They can arrange help before you leave hospital.
Some people take longer than others to recover from their operation. If you have any problems, you may find it helpful to talk to someone who is not directly involved with your illness. Our cancer support specialists| can talk to you, and tell you how to contact a counsellor or local cancer support group.
You’ll need to take hormones| to replace those normally produced by the thyroid gland. However, you may not need to start taking them straight after the operation. Your doctor will tell you when to start.
If you have an operation for papillary or follicular thyroid cancer, you may have a scan or treatment using radioactive iodine in the weeks following the surgery. Your doctor may delay starting thyroid hormone replacement therapy until this has been done.
Occasionally, because of the position of the thyroid, the operation may affect the nerves supplying the voice box (larynx). This can make your voice sound hoarse and weak. This is usually a temporary problem, but in a very small number of people, it may be permanent.
With a thyroidectomy, there is a very small risk of damage to the parathyroid glands. These are four very small glands behind the thyroid that produce parathyroid hormone, which helps to control the level of calcium in the blood. If they are damaged the level of calcium in the blood may become low (hypoparathyroidism). You’ll have regular blood tests to check the amount of calcium in your blood. If necessary, your doctor will prescribe calcium, and possibly vitamin D, supplements for you. Often these are only needed for a short time, but your doctor will tell you how long you need to take them for.
It’s normal to feel a little tired| a few weeks after your thyroid gland has been removed.
You will have a scar across the front of your neck just above the collar bones. The scar will look red or dark initially but it should fade with time.
Before you leave hospital you’ll be given an appointment to attend an outpatient clinic for a post-operative check. This is a good time to discuss any concerns you may have.
For answers, support or just a chat, call the Macmillan Support Line free (Monday to Friday, 9am-8pm)
If you have any questions about cancer, need support or just want someone to talk to, ask Macmillan.