Aa
Solid food?
When is it ok to start normal and solid food again like pizza and steak and what not? I don't want the stitches on the inside to open. Will be a week since surgery tomorrow.
Best Answer
COMMUNITY LEADER
COMMUNITY LEADER
It's out now and you won't have to worry about it any more...
When they do your blood work, make sure they are doing Free T3 and Free T4, not Total T3 and Total T4.
When they do your blood work, make sure they are doing Free T3 and Free T4, not Total T3 and Total T4.
Here is the report from the TT:
SPECIMEN(S): A. NECK DISSECTION, RIGHT LATERAL NECK CONTENTS; B.
THYROID TOTAL RESECTION, WITH CENTRAL NECK CONTENTS
A. NECK CONTENTS (RIGHT LATERAL), NECK DISSECTION
--- METASTATIC PAPILLARY THYROID CARCINOMA INVOLVING FIVE OF TWELVE
LYMPH NODES, UP TO 10 MM METASTASIS (5/12)
--- NO EXTRANODAL EXTENSION IDENTIFIED
B. THYROID WITH NECK CONTENTS (CENTRAL), TOTAL THYROIDECTOMY AND NECK
DISSECTION
--- PAPILLARY THYROID CARCINOMA, 2.5 CM, INVOLVING THE RIGHT LOBE,
LIMITED TO THE THYROID
--- METASTATIC PAPILLARY THYROID CARCINOMA INVOLVING EIGHT OF FOURTEEN
LYMPH NODES, UP TO 10 MM METASTASIS (8/14)
--- NO EXTRANODAL EXTENSION IDENTIFIED
--- MILD CHRONIC LYMPHOCYTIC THYROIDITIS
--- TWO UNREMARKABLE PARATHYROID GLANDS
--- FOCAL UNREMARKABLE THYMIC TISSUE
--- SEE SUMMARY OF FINDINGS
SUMMARY OF FINDINGS
Specimen Identification
Specimen, laterality, procedure: Thyroid, total thyroidectomy with
central neck and right lateral neck dissections
Specimen integrity: Intact
Specimen size: See gross description
Tumor focality: Unifocal
Dominant Tumor
Tumor laterality: Right lobe
Tumor size: 2.5 cm
Histologic type: Papillary thyroid carcinoma
---Variant: Classical (usual)
Tumor capsule: Partially encapsulated
Tumor capsular invasion: Not identified
Extrathyroidal extension: Not identified
Lymph-vascular invasion: Absent
Final Margins: Negative
Lymph Nodes
Regional lymph nodes (involved/examined): 13/26
Pathologic stage: pT2 N1b M(Not applicable)
NOTE: Final report will be faxed to the office of Dr. Peter Czako on
January 8, 2015.
cal/cr
GROSS DESCRIPTION:
A. Received in formalin labeled "right lateral neck contents" is a 4.5
x 3.5 x 1.5 cm unoriented aggregate of yellow adipose tissue. No
discrete skeletal muscle or internal jugular vein are identified
grossly. The specimen cannot be oriented due to the fragmented nature
of the specimen and absence of the normal anatomic landmarks. Upon
dissection, thirteen possible lymph nodes are identified ranging from
0.2 x 0.2 x 0.1 cm to 1.3 x 0.8 x 0.4 cm. The cut surfaces of the
larger lymph nodes are pink-red, smooth and glistening. Two of the
largest lymph nodes are grossly papillary and cystic, consistent with
involvement by tumor.
The possible lymph nodes are submitted entirely as follows:
1 - three possible lymph nodes
2 - two possible lymph nodes
3 - three possible lymph nodes
4 - two possible lymph nodes
5 - one possibly involved lymph node bisected
6 - one possibly involved lymph node bisected
7 - one lymph node bisected
Multiple/7, + G.
B. Received in formalin labeled "total thyroid with central neck
contents" is a 24 g total thyroidectomy specimen consisting of right
lobe (4.0 x 2.8 x 1.5 cm), left lobe (3.8 x 2.5 x 1.4 cm), isthmus (2.4
x 2.0 x 0.8 cm), and central neck contents extending from the inferior
aspect (5.0 x 3.0 x 1.0 cm). The capsule is dark red and slightly
ragged on the posterior aspect. The specimen is inked as follows:
anterior right lobe - red, anterior left lobe - blue, anterior isthmus
- green, posterior - black. Sectioning from superior to inferior
reveals a 2.5 x 1.7 x 1.6 cm well demarcated, pink, possibly partially
encapsulated, firm mass within the inferior pole of the right lobe at
the junction of the right lobe and isthmus. The mass abuts both the
anterior and posterior thyroid capsule. The remainder of the thyroid
parenchyma is dark red, glistening, and unremarkable.
Upon dissection of the central neck contents, twenty-two possible lymph
nodes are identified ranging from 0.2 x 0.2 x 0.1 cm to 1.5 x 1.0 x 0.8
cm. The cut surfaces of the larger lymph nodes are pink, soft,
papillary, and partially cystic. consistent with involvement by tumor.
Representative sections are submitted as follows:
1-8 - entire mass within right lobe to isthmus in sequential order
from superior to inferior
9 - representative unremarkable sections from superior right
lobe and superior left lobe
10 - representative sections of unremarkable inferior left lobe
11 - three possible lymph nodes
12-13 - four possible lymph nodes in each
14-15 - three possible lymph nodes in each
16-19 - one lymph node, bisected in each
20 - largest lymph node trisected
Multiple/20, + G. hg/cal/kh
SPECIMEN(S): A. NECK DISSECTION, RIGHT LATERAL NECK CONTENTS; B.
THYROID TOTAL RESECTION, WITH CENTRAL NECK CONTENTS
A. NECK CONTENTS (RIGHT LATERAL), NECK DISSECTION
--- METASTATIC PAPILLARY THYROID CARCINOMA INVOLVING FIVE OF TWELVE
LYMPH NODES, UP TO 10 MM METASTASIS (5/12)
--- NO EXTRANODAL EXTENSION IDENTIFIED
B. THYROID WITH NECK CONTENTS (CENTRAL), TOTAL THYROIDECTOMY AND NECK
DISSECTION
--- PAPILLARY THYROID CARCINOMA, 2.5 CM, INVOLVING THE RIGHT LOBE,
LIMITED TO THE THYROID
--- METASTATIC PAPILLARY THYROID CARCINOMA INVOLVING EIGHT OF FOURTEEN
LYMPH NODES, UP TO 10 MM METASTASIS (8/14)
--- NO EXTRANODAL EXTENSION IDENTIFIED
--- MILD CHRONIC LYMPHOCYTIC THYROIDITIS
--- TWO UNREMARKABLE PARATHYROID GLANDS
--- FOCAL UNREMARKABLE THYMIC TISSUE
--- SEE SUMMARY OF FINDINGS
SUMMARY OF FINDINGS
Specimen Identification
Specimen, laterality, procedure: Thyroid, total thyroidectomy with
central neck and right lateral neck dissections
Specimen integrity: Intact
Specimen size: See gross description
Tumor focality: Unifocal
Dominant Tumor
Tumor laterality: Right lobe
Tumor size: 2.5 cm
Histologic type: Papillary thyroid carcinoma
---Variant: Classical (usual)
Tumor capsule: Partially encapsulated
Tumor capsular invasion: Not identified
Extrathyroidal extension: Not identified
Lymph-vascular invasion: Absent
Final Margins: Negative
Lymph Nodes
Regional lymph nodes (involved/examined): 13/26
Pathologic stage: pT2 N1b M(Not applicable)
NOTE: Final report will be faxed to the office of Dr. Peter Czako on
January 8, 2015.
cal/cr
GROSS DESCRIPTION:
A. Received in formalin labeled "right lateral neck contents" is a 4.5
x 3.5 x 1.5 cm unoriented aggregate of yellow adipose tissue. No
discrete skeletal muscle or internal jugular vein are identified
grossly. The specimen cannot be oriented due to the fragmented nature
of the specimen and absence of the normal anatomic landmarks. Upon
dissection, thirteen possible lymph nodes are identified ranging from
0.2 x 0.2 x 0.1 cm to 1.3 x 0.8 x 0.4 cm. The cut surfaces of the
larger lymph nodes are pink-red, smooth and glistening. Two of the
largest lymph nodes are grossly papillary and cystic, consistent with
involvement by tumor.
The possible lymph nodes are submitted entirely as follows:
1 - three possible lymph nodes
2 - two possible lymph nodes
3 - three possible lymph nodes
4 - two possible lymph nodes
5 - one possibly involved lymph node bisected
6 - one possibly involved lymph node bisected
7 - one lymph node bisected
Multiple/7, + G.
B. Received in formalin labeled "total thyroid with central neck
contents" is a 24 g total thyroidectomy specimen consisting of right
lobe (4.0 x 2.8 x 1.5 cm), left lobe (3.8 x 2.5 x 1.4 cm), isthmus (2.4
x 2.0 x 0.8 cm), and central neck contents extending from the inferior
aspect (5.0 x 3.0 x 1.0 cm). The capsule is dark red and slightly
ragged on the posterior aspect. The specimen is inked as follows:
anterior right lobe - red, anterior left lobe - blue, anterior isthmus
- green, posterior - black. Sectioning from superior to inferior
reveals a 2.5 x 1.7 x 1.6 cm well demarcated, pink, possibly partially
encapsulated, firm mass within the inferior pole of the right lobe at
the junction of the right lobe and isthmus. The mass abuts both the
anterior and posterior thyroid capsule. The remainder of the thyroid
parenchyma is dark red, glistening, and unremarkable.
Upon dissection of the central neck contents, twenty-two possible lymph
nodes are identified ranging from 0.2 x 0.2 x 0.1 cm to 1.5 x 1.0 x 0.8
cm. The cut surfaces of the larger lymph nodes are pink, soft,
papillary, and partially cystic. consistent with involvement by tumor.
Representative sections are submitted as follows:
1-8 - entire mass within right lobe to isthmus in sequential order
from superior to inferior
9 - representative unremarkable sections from superior right
lobe and superior left lobe
10 - representative sections of unremarkable inferior left lobe
11 - three possible lymph nodes
12-13 - four possible lymph nodes in each
14-15 - three possible lymph nodes in each
16-19 - one lymph node, bisected in each
20 - largest lymph node trisected
Multiple/20, + G. hg/cal/kh
And no I don't feel sluggish or anything yet, its only been 11 days since I had the TT so I don't really feel bad or anything right now.
I found out that the surgeon had to take 13 out of 26 lymph nodes. And I see the surgeon tomorrow, I have a blood test done for t3 and t4 tomorrow to see if my levels are what they should be to do a thyroid scan for RAIT and then if they are I start the diet. If not we figure out when my levels will be good enough. I get the scan on Monday.
COMMUNITY LEADER
Oh wow, I thought they'd prescribed you 25 mcg levo... aren't you starting to feel kind of hypo? When will they do they RAI?
Be careful with the diet then, because weight gain is a major thing with hypothyroidism and if you aren't on thyroid replacement, you could start gaining quickly... pizza would be off limits...
Be careful with the diet then, because weight gain is a major thing with hypothyroidism and if you aren't on thyroid replacement, you could start gaining quickly... pizza would be off limits...
I dont have any thyroid hormone pills yet. They aren't giving me anything until the radioactive iodine therapy is scheduled and completed.
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Going by dental work I've had where stitches had to dissolve; it took them longer to dissolve than it did for the incisions to heal. If they said 6 weeks for the stitches to dissolve, the incision will probably healed in 3 or less, but you still have to be really careful. I wouldn't get too overzealous. You're right, if you wait until they give you the go ahead, it will taste so much better.