Patients: Drug name: Eugenol
Dosing instructions.
Two tablets per day currently without any discomfort. I did not have any discomfort before the surgery. At that time, only the right page of the thyroid gland was cut. Please tell me, Director Liao, before and after surgery, there are lymphatic problems, is it that my surgery was not clean? Or is it a metastatic lymph? Do I need a new surgery? Thank you Liao Haiying, Department of Glandular Surgery, The Second Hospital of Hebei Medical University
Liao Haiying, Department of Breast and Thyroid Surgery, Second Hospital of Hebei Medical University.
Hello.
According to your ultrasound results, you should have the ultrasound imaging features of thyroid cancer before surgery. Intraoperative pathology should be done to decide the scope of surgery. Currently, your pathology shows papillary carcinoma, so the scope of surgery should not be enough, and the possibility of lymph node metastasis also exists, because it is not easy to say without pathology. My opinion is that there should be another surgery.
Patient: Director Liao, sorry! The previous description of the condition is not accurate, so I will describe the condition in detail: the surgery was a total excision of the right lobe of the thyroid gland + isthmus + partial excision of the left side, ice during the surgery showed no abnormalities, and the postoperative pathology showed a focal micro papillary carcinoma of the thyroid gland. Other conditions are as previously reflected. Does the lymph enlargement now shown mean that the cancer has metastasized? Does the lymph node enlargement shown by preoperative ultrasound indicate metastasis before surgery? Is it necessary to re-surgery? If the surgery is repeated, how much will it affect my health? Thank you!
Liao Haiying, Department of Breast and Thyroid Surgery, Second Hospital of Hebei Medical University.
Hello.
The information you have added looks like the scope of surgery still meets the criteria for thyroid cancer surgery. The ultrasound image you provided is not detailed enough, and there is no information about the size and internal texture of the lymph nodes, so it is not possible to determine whether there are lymph node metastases. There is no basis to determine whether the surgery will be done again or not.