Thyroid Nodules & Thyroid Cancer: What You Need to Know | UCLAMDChat
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- Опубліковано 28 кві 2024
- UCLA endocrine surgeons Michael Yeh, MD, and Masha Livhits, MD, discuss the latest strategies to diagnose thyroid nodules; how to avoid surgery, if possible; and best practices for treating thyroid cancer #UCLAMDChat
Learn more: www.uclahealth.org/endocrine-... - Наука та технологія
Praying for everyone going through this!!🙏🏼🙏🏼💝🙏🏼🙏🏼
Thank you 🥹
I’m here for understanding. Best video I’ve seen.
Had total thyroidectomy on 9/19/23.
Got pathology results showing I have BRAF mutation. I’ll be having RAi treatment in 2 wks.
I’m a 41 year old single mother. It’s incredibly difficult to plan for your possible death when I’m all my son has.
So here I am, trying to educate myself and live longer
You will live to see your grandchildren.
Please make sure you are followed by your surgeon(first year) and Endocrinologist twice yearly through lab work and ultrasound! Stay strong for yourself and your children!!
I am in this position now. I have been a nurse for 47 years so i appreciate your information.
Excellent presentation. Love the humanity and compassion shown towards patients during diagnosing, treating and the aftercare process. Also thanks for explaining the topic it in an easy to understand manner for us not medically trained in Endocrinology and Oncology 🙂👍
What a fantastic presentation. I learned so much - the doctors are so articulate, they present a variety of fascinating material in a very intelligible way, and also are very sensitive. I think this presentation was really top notch.
Awesome inf.
For Lloyd Lloyd Lloyd kllllll l
Thank you, Dr. Michael Yeh and Dr. Masha Livhits for this wonderful and easy to understand presentation
Thank you for this clear and thorough information. This makes my wait to get into see the endocrinologist less stressful.
Thank you Doc giving me full undrstanding of thyroid deseases.
Thank you for this video. Very informative and I really enjoyed both doctors.
after watching many of these videos about this topic this is by far the best
Thanks for reply Dr. livihit and Dr. yeh
Thank you SO much very informative and competent doctors !
Great presentation, each doctor is very well spoken and well rehearsed.
Thorough and so informative, thanks so much.
This is the nicest and the most reasonable explanation of thyroid cancer I've heard. I'm only missing linking it with natural therapies and nutritional science. Why limiting patient's options? I wish there would be more doctors like you. Well done.
Anna Tataruch-Krawczyk aaw
help mam
please mam
help please
Research essiac tea
Every thyroid Dr. and surgeon should send the link to this video to their patients.
Excellent presentation, thank you.
This was a very informative presentation on thyroid cancers. My mother has recently found a lump on her neck close to 2cm and currently being scheduled for ultrasound biopsy over at the LAC USC medical. I want to find a good institution for her so that she can be treated correctly from the start and promptly before the condition gets any worse.
This was so helpful and so well presented. Since I am just beginning this journey, I particularly appreciate the comments regarding the importance of the initial surgery and imaging.
I too am beginning this journey. Months ago I asked my young GP about taking a look at my thyroid and he asked me if I really wanted to go down that rabbit hole...made me feel stupid...now one of my lymph nodes is swollen and painful and I bullied him into an ultrasound. Lots of nodules that need aspiration. This was an excellent presentation!!!
Excellent webinar not just for the patients, but also for the physicians. Thank you for your effort. Sincerely.
permanently cured from hyperthyroidism with dr iyaremoses herbal treatment thank you doc.
Thank you for all these information, I appreciate it very much!
I'm still learning about the difference of cancerous & noncancerous...
First, I want to thank you so much for this excellent video with detailed information. I just (week) had my thyroid completely removed due to cancer cells with metastasis and you have answered many more questions than I received from my doctors. Thank you again! now I feel better and know what to expect.
Ed T 👋
How r u ED T
I've enjoyed the discussion it's very informative
Thank you for information about "cancer" .This is an excellent clearly information which is help me to know what is it and how much effect it in our body's different limb.
great job! i learn a lot in the process and u spoke well and clearly during your presentation. u got my vote for a raise.
Yes,...we must need to know about thyroid cancer signs. Its a very good video. We all have must know about the signs,symptoms as well as treatments for thyroid cancer.
thyroidnation.com/
ur hamster looks so cute i wamt to cry
I have 2.7mass
I have cysts and nodules on mine. It first showed up on a mri of my neck after a car accident and i started off having one. I went a year later and i had 5. Now I've had several boiopes done and they do a thyroid ultrasound and a biopsy every 6 months, they're suppose to anyways. I shouldn't fall into any percentage of having cancer at all because we have alot of thyroid problems in our family . Thanks for sharing the video and the first biopsy wasn't painful at all but the second one was quite uncomfortable because i had more unfortunately show up. I need to have it treated asap and i see a surgeon soon because you re thyroid actually controls basically everything in you're body including your sleep patterns, you're mood swings, you're temperature and so much more
Great presentation... Thank you.
Yeah.According to present situation we must need to know about thyroid cancer. Its a very good video. We all have must know about the symptoms as well as treatments for thyroid cancer.
goo.gl/FheQHy
Oooops, I wasn’t done. I just wanted to also say that your friend’s advice is so true about reducing your consumption which I’ve done as well. The difference with this diet, or lifestyle approach, is that I don’t have the crazy cravings or hunger that I’ve always had with the other approaches that I failed at. It’s great!!😁. I hope my share helps another menopausal woman that’s struggling with weight loss. Thank you for your video. You are fabulous!😊
@Wesley Hinson
Hi Wesley,
What herbs what roots and herbs did you use? Thanks, Bambi
Thank you for clear information
Thank you for these information!
wow awesome presentation i must say
Can you recommend a surgeon in Alabama, please. How about Vanderbilt in TN. Thank you!
Hyperthyroidism 1st Sx., got under control, total thyroidectomy except nubbin left to preserve parathyroid. Years later 1st Sx. chocking on swallowing, re-growth of thyroid growing to right lateral & posterior to midline cervical neck, surgery, no complications. Years later 05/01/2019 found small nodule,1cm, round & fixed. Age 83, family history grandmother thyroid ca.,
mother goiter, 2 sisters thyroidectomy, 2 daughters one surgery, one ablation, progressed to Graves' disease, all benign. Blood work all within normal range. No ultrasound since just found it today! Hoping I am not in 1% of 3rd surgery. Your presentation
by both of you EXCELLENT! Thank you Dr. Livihit & Dr. Yeh.
Do you suffer from severe pain?
From Australia here whish you were my Doctors
thanks, you are great.....
Thank you for this video it's very helpful.
Very helpful. Thank you.
Rrdigso
Fantastic explanation
Thanks for the great presentation. Learned a lot..jc
Thank you so much for this video. I loved how easily you both explained everything. I find out in a few days if I have thyroid cancer and trying to make the best decisions possible if I do. Again thank you for this informative video that is easy to understand and so interesting.
Thank you very clear presentation 👏
I pray that all is well with you and yours in Jesus name.
@@ladennayoung2939 thank you so much! Everything went well.
Thank God. In Jesus Name Amen. I am worried for myself now too. They said papillary and I did a second biopsy. I been. In actual pain in my thyroid , Whole neck , back , shoulders .
. My chest it feels like heart attack pains but I'm too sad to go to the hospital
Waiting on this new biopsy God forbid its that and I'm just scared cause of all the other pain I already feel :( I'm 39. Female. Still look and feel like in my 20s but it's pretty bizarre, please keep me in a prayer 🙏🏻 ❤️ thank you , God bless you🌷
@@chantyd2590 How are you doing?
Very impressive presentation. 👏👏👏
What's the best way to find a good thyroid doctor/surgeons in my area i live in springfield pa
This is very informative presentation, I think more Surgeons should communicate with not just with the patient. I think more can be learned when the Surgeons, Endocrinologist, Radiologist, and Pathologist can communicate more effectively, share information, and most importantly go to Seminars using cross overs. A good example: You go into a seminar for an endocrine surgeon and you work as a pathologist, Why?! This seminar not only benefits the patient but, the pathologist can get a clearer picture what the endocrine surgeons see through their 👀 eyes, it give them another tool to help everyone involved. The same hold true for that same pathologist to go to seminars for oncology and endocrinology. I know this is a UCLA presentation: however, remember what I said about cross over?! The same holds true for Universities or other medical centers that are trying to help combat this cancer fight! I like a word that I heard by Dr. Julia Sosa- Endocrine Surgeon at Duke University medical center, she is also writes ATA guidelines, and is the president. She said: The patient must be part of the epi-center, this meaning the initial surgery is the most critical, and the best cure for thyroid cancer, the patient must make decisions as well within the ATA guidelines. I'll have to have a Lobedectomy and highly likely a full thyroidectomy, which for me is not only scary, but very challenging due to some lymph node involvement, and the current pandemic. The pandemic is hard enough, recently found out I am allergic to substances found in the shot, I've had already a serve shock that lasted for 3 days, was told I was lucky to be alive, what do I do??? Especially, they are encouraging cancer patience to get the shot, please help anyone??? I'm lost?
Excellent presentation.
Thank you
@25.40 secs of this video _ very informative
Helpful. Thank you.
I just wish there was someone like you to help me in my country very good information
in hypo t based on the level of tshor t3t4 level ,we should select the dose of l thyroxine. which is more important in selecting dose
I have been dealing with friends of my fire ride for about 4 years
Please tell about multiple solid n cystic nodules appearances ,, what color on FNAc predict benign or cancerous,,
Thank you 💕
What about thyroid goiter that is papillary cancer? Is it better to take both out the first time if goiter is 10 cm?
Excellent and informative. I had a total thyroidectomy and RAI back in 2009 (pappillary carcinoma). Given the advances in molecular testing and the newer guidelines, they might have gone with a lobe-ectomy and no RAI if i'd had it today instead of then, but better safe than sorry, so no regrets.
QUESTION: Is there any data regarding the incidence of thyroid cancer that may have been caused by radioactivity affecting milk in certain regions ? I had none of the classic risk factors (i'm not in a low iodine region, nor was I exposures to known radiation sources), but I drank LOTS of milk as a kid back in the 60's & 70's ... cant help but wonder if there was any linkage between high altitude fallout plumes from secret nuclear testing at the time (re: cold war era).
@Wesley Hinson AFAIK, a fairly signifcant percentage of nodules turn out to be benign, and can come and come and go on their own. They can turn out to be just benign cysts, temporarily inflamed lymph nodes, et cetera ... but if a biopsy reveals a carcinoma, prompt intervention (surgery plus chemo and/or RAI) is usually indicated. I've had all three at one time or another. In my experience, homeopathy and/or medicinal herbs can be of some help for the first two, but tends to be a lot less effective with the third.
my wife was recently with thyroid cancer 3cm in diameter other thyroid looks healthy and it looks completely contained in the thyroid. would a thyroidapotny or lobeapotny be the best and what about radioactive iodine?
8:40 I had biopsy and results came back as malignant. After my complete thyroidectomy diagnosis came back as Cancer of the Thyroid "papillary Thryoid carcinoma. capsulated. 32:50 Future progrnosis. (notes to self)
How are you doing today in 2023?
I have a partial thyroidectomy 45+ years ago now I have nodules if they are benign can I do nothing and what is consequence
my mother had suspicious papillary thyroid cancer pray for her health
Hows your mother now..plssss
What does a prior image showed nodule inferior , today image showed to be superior within the thyroid?
Is the reacurrance of thyroid cancer have a lot to do with during surgery, being open to the air?
I have multinodular thyroid. Are thyroid nodules caused by an underlying auto immune disease?? My bloodwork (tsh, etc) is normal.
Right lobectomy done Biopsy come out with Neoplasm follicular and suggestive of welll differentiated tumor of uncertain malignanant potential.
Please advise further
What are the side effects of total thyroidectomy?
It would have been helpful to address the existence of Haistmotos and being on Levothyroxine already and the newfound nodule. Also, the fact the Levothyroxine is a tumor suppressor.
Can RF radio frecuente skin treatment cause it? I believe so.
21 days back done the surgery of PTC.right thyroid removed.stage pt1mno....doctor asked me to remove other nobe immediately.is it recommended.after how many days pet city scan is recommended
What is the treatment for thyroid mass with trachea invasion?
I got FNAC done 2 days back and report given is Follicular Neoplasm. The biopsy was done by locating the nodule with hand. Sonography was done separately a day before FNAC. Is it necessary to draw sample while detecting with sonography probe in parallel? If so, should I try for FNAC again at a different Lab to get a conclusive result?
Follicular neoplasm, from what I have read, is one portion of Category III or "Indeterminate" of the 6-tier Bethesda system of classification. According to journal articles I have found online, it carries a 15-30% risk of malignancy. If your cytology report says Follicular Neoplasm, you may want to have surgery to remove the lobe, or you may want to have a repeat biopsy, since about 80% of the repeats will give you a more definite answer, whether benign or malignant. If the nodule is too small to be sure they are placing the needle in the correct location, they will use ultrasound guidance. So no, it is not always necessary to use sonography for the biopsy.
Thanks Doctor's👌👌
What is the current status of various prognostic criteria i e Mayo Clinic’s or Lahey clinic criteria described in Eighties and nineties. Is there any evidence that two percent of your parents who had second surgery in the neck did benefit from it ??
Having this done tomorrow
I already have stage four breast cancer that spread to my liver and brain already so I'm very very nervous
Fightingstage4 breastcancer so so sorry to hear that. Praying for you
I'm sorry for the both of you and may God and prayers be with you. Best wishes to you both and i hope that you may receive a miracle. Amen
God bless you Fightingstage4breastcancer 🙏
I Have Highpo Thyroid having problems with weight gain . NOW IF I WANTED TO GET SURGERY TO REMOVE IT FOR GOOD ?? DO U THINK IS possible To DO SO???
I need a reoperation as my surgion has forgot to take out some lymbnodes... on level 6. Also 2 other 1cm lymbnodes on left and right side of the neck he advice not to operate now. Does this effect the prognoses?
excellent
I had my whole thyroid out due to huge nodes, is it normal for the skin to heal to the wind pipe? When I swallow a flap forms and it is hard to swallow. I been back to the surgeon 3 times and he said it's scar tissue and rub it. Is this normal? I looked on youtube and I don't see this problem with others. I'm looking for help and advice.
If your gonna use a explanation board make sure the person can see and read and be able to distinguish the explanation the lady is pointing too
My biopsy was reported as hurthle cell lesion rich on my left lobe 1.9cm and malignancy is indeterminate. It is recommended to remove my left thyroid for exclusion of the hurthle cell. Is it worth doing the surgery?
Excellent!
If your TSH is hi and your T4 is low what does that mean.
I am suffering with a nodule on my thyroid,and some trouble swallowing I made an appointment and go in on dec.20th 2022,I am so worried bc thyroid issues run in the family my younger cousin had to have surgury for thyroid cancer in her early 30s late 20s ,I lost my father in may from cancer,all his sisters passed from cancer except one.my grandmother had her breast removed for cancer was in her breast,I'm really hoping i dont have this bc i feel so terrible and throwing up cant eat hardly ,no appetite,feeling faint alot...
I was diagnosed with a 6 cm toxic nodule on my thyroid this past December & got it removed May 1st. I talk all about my story, symptoms, the surgery, & my surgical team that I’d recommend to ANYONE in my “meeting my thyroid tumor” video on my channel! I also have my social media linked in case anyone with similar issues wanted to talk :)
hi sir /mam , good work your explanation is very good , please help me , on 4-12-16 i gone through ultrasound scanning give the result there is a nodule in right lobe of size 1.9 cm x 2.2 cm and while left lobe has few small centimeter size hypo echoic nodule
and i gone through FNA and the result is "adequate cellular smears showing hermorrage in background . follicular epithelial cells are arranged in mono layered sheets , vague follicular/acinar pattern and small clusters . cells are medium size , moderate cytoplasam ,eccentric or central nuclei, mild anisonucleosis , chromatin appears fine in most , colloid is scant"ANY DEFINITE PAPILLARY STRUCTURE , NUCLEAR INCLUSION OR GROOVES ARE NOT APPRECIATED "
my doctor suggested me to go for surgery , then my doubt is can i go for surgery immediately or can i take time for it and is it cancer or not please suggest me
Does your pathology report say anywhere the word "Indeterminate"? Or "atypia of undetermined significance"?
I am not a medical professional, just an informed patient, but thyroid malignancy, if present, are typically slow-growing; so I would say you do not have to make a decision immediately, and take your time to study your situation. Get another opinion or two. Possibly have a repeat biopsy, especially if your was rated "Indeterminate".
Thank you all very much for this thorough and very informative video. God bless you and yours in the mighty name of Jesus. Amen and Amen and Amen and Amen and Amen and Amen.
My Biobsy came up negative for Cancer, yet, I am being advised to get the oiter removed along with the left side of my thyroid gland...Is there any other way of healing and reducin this goiter. My T3 and T4 s are all good --harmone levels are normal???? Is there something more I should know????
Hi did you found any solution to reduce it?
I had a what was a kind of benign slash malignant tumor. How that happens is the tumor calcifies and stops you from going through puberty till 40. Also it cause my tonsil surgery to bleed out in my throat because it was just hard and sharp enough to poke through my throat causing bleeding. The funny is I am growing shark teeth. I think my dentist attempted to kill the root and make the tooth dull but instead it rolled down my chin and took out the sharp thyroid tumor instead making my hair grow back so I now might have full head of hair.
I have a 19mm TI-RADS 4 solid module on left thyroid lobe is this cancer and serious
Good one
I do have total thyroidectoctomy and biopsy result is medullary thyroid ca,
Will it be needed to do will i chemo or radiation?
Thank u
Thank you, for this video, one question how whole they know if it has spread to they lymph nodes? Is it from the ultrasound? Or during thyroid surgery
I had thyroid noulds. Last February I did baypse. BAYPSE TOLD 80% POSSIBILITY. DOCTORS TOLD ME IMMEDIATELY NEEDS SURGERY
It is imperative you have a biopsy if your nodule is hypervascular? I really would rather try supplements first.......what do you folks think?
If it were I, I would have it biopsied by FNA. Vascularity is one of the features that makes it suspicious for malignancy. However, that is not a specific sign because more than 50% of hypervascular solid thyroid lesions are benign.
Now I know why my doctor checked my heart
Hi Doc i have multiple nodules and my left thyroid lobe it has 8x4 mm measured. Do i need to do biopsy? Please reply. Thanks
I think that in the first 20-25 minutes of the presentation, she stated that nodules
Ramz roger lapuz 9
it shows of follicular neoplasm
27 mm nodule cystic need surgery or not.. from.Sri Lanka.
my nodule grew a bit and its indifferential now or suspicious cells. the DNA/genetic test said i am high risk for aggressive thyroid cancer. I am to have surgery but is it really necessary or can this wait for a second opinion or even wait another month before surgery.
How are you doing now? What happened to you and hopefully everything is going well for you after your treatment!!
@@saulbecerra5830 Thanks for asking. I had the thyroidectomy in december 2018. My TG did not go undetected. My lymph nodes were never tested. So I did finally have central left neck dissection this past July 2021. Right now, 4 months later, my TG is 0.06. Yay! I’m not sure Ill do Radioactive Iodine again. Only if my TG begins to climb. It’s been a journey.
What if you have multiple Calcified lymph nodes n your primary doctor says nothing to worry about, but then years later they grow
Hi, how long the patient can leave after the surgery? What did you mean by 10 years? It means they only live up to 10 years after the surgery?
don't worry
Be happy
They are only looking up to 10 years.
It's for people diagnosed with cancer and who didn't take any treatment. Don't worry :)
What are the guidelines as of 2019? My nodule has grown from 2cm to 2.1cm. I have multiple nodules front and back of right and left side of the thyroid. And yet to have more tests other than 2 ultrasounds. Thank you
have you checked your iodine level?
Do you ladies experience severe pain or any pain at all?
I know someone in a similar situation to you. He has multiple nodules on both sides of the thyroid. He has so far had four ultrasound tests done over a period of several years. The three biopsies did not indicate cancer. He has a goiter which could be seen as a small protuberance on his neck. Similar to you, his nodule has grown and as such finds it difficult to swallow food. He used to feel as if his throat was constricted as if the slight lump inside was impeding the passage of food.
His solution was to get the Triple Iodine complex 12.5mg capsule from Swanson Vitamins, break open the capsule, and take about one-third of the powder inside in the morning and with breakfast and the other third of the capsule
after lunch. He says he could feel almost instant relief in his throat as if the lump has shrunk. He could now eat his food not fearing that it might choke him. He also feels that the aches and pains he had along his spine have disappeared. Iodine is required by almost every cell in the body for it to work properly. He feels that he has found a way to make up for this shortfall. Years ago they used to add iodine to bread. Now they add bromine instead which does not serve the body in any way.
Another supplementation method is to use Lugo's 2 % solution on the skin. He prefers the Swanson Triple iodine complex over all others. The body needs Iodide and molecular iodine for it to satisfy bodily needs. Please do a google search to see how Iodine helps. Apparently, the vast majority of the US population is iodine deficient.
please search Sherry Tenpenny, DO, Outlines many disorders that come with Iodine deficiency.
Finally, I hope you get better.
Want to know what exactly it is
Engineers make decisions with less than perfect information too. That guy who asked the question was just an idiot. Thanks for a most informative session.
Good presentation, I was one of the outliers, male, very physically fit had a nodule that was biopsied 2x and came back normal. It constanttly tickled my so I asked to have the nodule removed. They thought it was benign and surgery would only be a partial thyroidectomy and should take 2 hours or so. Surgery ended up being 6.5 hours long and was in 14 lymph nodes. I was 38 yrs old but history of fluoroscope use in my podiatric surgical work....
How old are you know and how everything is going with that?