My mother She needs a total thyroidectomy with removal of the lymph node - #19070
My mother is 44 years old and has several health conditions including diabetes, high blood pressure, obesity, and hepatitis. She has a Bethesda IV thyroid nodule with a high risk of follicular cancer and also has a swollen lymph node that may be affected. She needs a total thyroidectomy with removal of the lymph node. She has two options: 1. A highly experienced surgeon in a large hospital in the capital, but the surgery can only be scheduled in 6 months. 2. A less experienced surgeon in a small hospital who can operate within 1 month. Considering her comorbidities and the cancer risk, which option would you recommend and why?
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Doctors’ responses
Strict control of comorbidities Diabetes: HbA1c optimized Blood pressure well-controlled Weight management if possible Liver function monitored Regular monitoring Neck ultrasound every 2–3 months Watch for rapid growth or new symptoms Pre-surgical optimization Endocrinologist + anesthetist evaluation early Cardiac clearance if needed
Hello,
This is not a simple thyroid surgery. It is a high-risk, technically demanding operation
For this type of case, surgeon experience matters more , unless there is evidence of rapidly aggressive cancer.
Optimize diabetes and blood pressure Get hepatology and anesthesia clearance Plan surgery with the best possible surgeon and hospital
6 months is usually safe for Bethesda IV lesions, unless there are signs of aggressive disease
Watch for red flags 🚩
I trust this helps Thank you
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