Tag: thyroid cancer spreading to lymph nodes

Categories
Cancer Cole Family & Friends Health Me Ryan

Good-Bye to Cancer

Two weeks ago, I had a follow up appointment with the surgeon who performed my thyroidectomy and neck dissection, Dr. S.  He said the incision site on the side of my neck was still swollen some, and is healing.  That side of my neck is pretty numb- I get a “pins and needles” sensation when I touch it, but it doesn’t bother me.  Dr. S. said the entire incision is healing perfectly, and just as it should.  He examined my neck and throat area and said everything felt just like it should- translation: no new enlarged lymph nodes or nodules.

I informed him I had not had my thyroglobulin level tested since I completed radioactive iodine (RAI) therapy in August.  Dr. S. ordered the blood work and I left with the perscription in my hand for the test.  I was very happy everything seemed to be on track, but I knew the results of thyroglobulin test would be the true indicator if I was cancer free.

The type of thyroid cancer I had, papillary, produces elevated levels of thyroglobulin.  Before my surgery, Dr. S. told me a person with no cancer thyroglobulin’s level would be zero.  Mine before surgery, was 38!  Dr. S., said that was very high, and he had never seen a person my age with that high of a thyroglobulin level.  Before my RAI treatment in August, the endocrinologist measured my thyroglobulin level, and they were amazed to see it was down to 4!  They said it was very rare- almost impossible to get the thyroglobulin level that low, with just surgery.  They said a reading around 13-20 is more common.  This confirmed Dr. S., did an outstanding job on my surgery. 

I had no reason to feel anything but optimistic, assuming the RAI would have killed off any remaining cancer cells. Still, I couldn’t help but worry a little bit.  All those thoughts crept into my mind…all the what-if’s?  It didn’t help that I had to wait a week for the results- for some reason the lab was really slow in getting the bloodwork back. 

But last Thursday, on my 37th birthday, Dr. S’s office called with the results.  My thyroglobulin level was undetectable and surpressed.  The levels were perfect, and I am officially cancer free! 

I was beyond thrilled and happy!  As it sunk in, I got very emotional.  It had been six months from my first diagnosis to this news, but it has seemed at times, the longest journey of my life, and like I would never reach this point, or if I did reach it, I would never be quite the same again.  I thought back to when Dr. S. called me on a Saturday in April to tell me he was sorry, but the biopsy showed I had thyroid cancer, and how the second I hung up with him I cried, and didn’t stop for hours. 

That seemed like a lifetime ago.  Everything I have experienced- the tests, the cancer diagnosis, the uncertainty, the fear, finding out the cancer had spread,  the surgery, the time I lost with my children, the incision, the numbness in my neck, the medical mistakes that were made, the diet, the severe hypothyroidism, the medication, the days I could barely function- all of those things, brought me full circle and I am healthy again. 

I couldn’t wait to share the happy news with my family and friends- all those people who have been there for me through all of this.  And most of all, I couldn’t wait to tell the boys.  Ryan smiled and hugged me when I told him- he understands all of it- probably even more than I care to admit.  Cole does too, but he asked if that meant the doctor didn’t have to cut my neck open again. 🙂

It has occurred to me sometime in the past few days, that this is the end.  My cancer journey is over.  There will still be routine check-up’s to monitor my levels, but thankfully papillary cancer has a very high cure rate, and reoccurrence is very rare.  

I have shared my experience with thyroid cancer in part, because it was very hard for me to find real-life information on it when I was researching it.  Most of the medical information describes it as no big deal, more or less.  While that is true from a medical standpoint, this experience has been anything but “no big deal.”  I have categorized every time I have written about my cancer, under the Cancer topic (35 posts in all), and I hope what I have experienced, will help others in their research. 

I am amazed and touched by the e-mails I receive daily from other thyroid cancer patients and survivors- in every stage.   I’m shocked that so many people tell me they have learned more about thyroid cancer from my blog than from their doctors. So many of the patients are afraid- just like I was.  I hope the cancer posts will continue to help and inform.  I will try to continue to answer as many of the personal e-mails that I can.  I am brainstorming some ways I can offer more assistance personally, and locally to thyroid cancer patients. 

This is where my experience ends.  It has been a journey that has been one of the hardest for me, but also one that has taught me so much about myself and others, and one that will never leave me.   But for now, it is time for me to say good-bye to my cancer.

Categories
Cancer Health Me Mothering

Mini Break from Blogging

I am going to be taking a short “vacation” from blogging.  My cancer recovery is not going as fast as I had hoped, and right now I have to concentrate on resting and trying to heal.

I appreciate the e-mails so many thyroid cancer patients have sent me- those who have already been through it, and those who have just been newly diagnosed and have questions.  Feel free to send me an e-mail if you have any questions (my e-mail is on my Contact Me page),  and  I will respond to you as soon as  I can.

I have also archived all my cancer posts in the right hand side bar under “cancer” so you can read about my experience  and what I have learned so far, and hopefully you may find some answers to your questions in some of those posts. 

I am hoping my mini blogging break will be short lived, and I will be able to blog again in the very near future.  Right now though I need to concentrate on healing and getting my body ready for the radioactive iodine treatment it needs.

If you follow me on Twitter, I will try to post short updates there on how I am doing- that is much easier right now than writing a blog post, and of course if you are a Facebook friend I will see you around there.

As a final note for now, PLEASE have your health care provider check your thyroid at your annual exam.  If anything feels “off” get in for an ultrasound as soon as you can.  That saved me from having to have my neck totally dissected to remove the lymph nodes that the cancer had spread to.  My surgeon credited my nurse practitioner who caught it early and insisted I have an ultrasound.  In my opinion, I don’t think there is enough information out there informing women of thyroid cancer.

Thanks again for all the support you all have given me during this process.  I will be back stronger and healthier, and will share the rest of my thyroid cancer experience.  Cancer can happen to anyone- please take care of yourselves and follow up with anything you or your health care provider thinks is abnormal.

Categories
Cancer Health Me

What I Found Out About Thyroid Cancer Surgery

Thank you all for the e-mails and comments youyou have sent me.  Many of my readers asked me to keep them updated, so here is what I found out today from my surgeon. 

The surgery is the worst case scenario. The two lymph nodes that are of major concern, are right below my ears. This means the surgeon is going to have to make a U shaped incision that runs under my ear, to my neck to the other ear. He will then have to work his way up- he said lymph nodes are like a ladder- one layer had to be removed before he can get to the next layer. He said he is going to have to dissect my neck. He said there are 80 nodes in this area, and he is going to try to get them all out, as he works his way up to get the ones with the known cancer. Every one they can get out, reduces the chance of a reoccurrence. He said lymph nodes should be under 1 cm. The two that are of concern are measuring 2.7 cm., and 3.5 cm. He said they could do a biopsy to make sure they are cancerous, but he said in his best professional opinion, he has never seen a case where the nodes are enlarged like this, and it wasn’t cancer.

I would think more seriously about a biopsy, but my thyroglobulin in my blood should be at 0, and it is at 37. He said he was very surprised it was this high. He said that all but confirms the enlarged nodes are cancer, and it is now showing up in my blood work. Dr. said it is more than likely that cancer is in my other lymph nodes in my body. But until they grow large enough, they are hard to detect. Six weeks after the surgery, I will have the radioactive iodine therapy that will kill off any cancer cells in any other lymph nodes. This is an effective treatment- it is a one time thing, I don’t lose hair or get sick. It does not look like I will need chemotherapy.

Because there is so much tissue, nerves, fat, and other vital parts in the neck, they have to work very slowly and meticulously in order to preserve as much of these as possible. It is a possibility I will lose my voice-for good- he said about 4% of people do. The vocal cords are right behind the thyroid and there are lymph nodes there.

Dr. said this is a brutal surgery. They have to cut away so much tissue and nerves to get to the lymph nodes, it is complex, slow, and there are other risks involved.

One thing he told me I am going to have to sacrifice is nerve endings in my neck. After the surgery, I will be numb from my earlobes to my collarbone- permanently. He said there is no way around this. Because I will be numb, I won’t feel the pain in my neck, but he said because all those nerves and tissues are connected, I will feel the pain in my shoulders.

He said the pain in my shoulders will be excruciating. He said he could not stress this enough for me, so I can be prepared. I am going to be in rehab for my shoulders 48 hours after the surgery. The surgery is going to be at least 10 hours. I will be in the hospital for up to 7 days. The recovery time after this is about 2 weeks.

I asked Dr. if I was going to die, and he said no. I told him I have my two boys, and he said I will be around for a long time for them. Learning all this was very shocking, and I started crying. Dr. gave me a hug and told me he knows how hard this is. His wife had thyroid cancer 2 years ago and he operated on her. He said their family went through the same thing, but my chances for a full recovery are very good.

I feel confident with the doctor- he is the leading surgeon for these types of cases in Northern Colorado. He’s been in practice for 16 years. He is on top of the current research and alternatives, because of his wife having the same thing. I feel he understands the emotional aspect of this for me as well. I told him I trusted him with this- to do what he needs to do, to make sure I am around for my boys. I am thinking about obtaining a second opinion, just to make sure I am covering all my options (thanks Mel).

This is shaping up to be one of the hardest things I have faced. I feel I have the information and the facts now to face it head-on. If you believe in a higher spiritual force, like God 🙂 please pray for me. If not, please send me positive and healing thoughts. I will need them.

I thank all of you- my friends (even if I have never met you in real life- 🙂  ) and family for all the support and love you have shown me. I feel it, and it is what will get me through this.

Categories
Cancer Family & Friends Health Me

My Cancer Has Spread

On Wednesday I had an ultrasound my surgeon had requested before the surgery to remove my thyroid for cancer.  I didn’t know ahead of time why he wanted this ultrasound, but found out it was to determine if the cancer in my thyroid had spread into my lymph nodes.

I was really upset leaving the ultrasound, and scared.  I didn’t want to have to think about another issue with my thyroid cancer.  I was told I would have the results in a few days.

Yesterday my surgeon, Dr. S., called me and told me the ultrasound showed the cancer had moved to my lymph nodes.  He said I have two lymph nodes that are measuring over 3 cm., and anytime they measure over 1.5 cm., it is a major cause of concern.

Dr. S. told me those nodes will have to be removed during my surgery and they will have to examine my other lymph nodes in surgery to determine if any other ones need to be removed as well.  He told me the surgery is complex and will be a minimum of 9 hours now.  Previously, the surgery time was about 2 hours-just to remove the thyroid.  Dr. S. said I will now be in the hospital for 4-5 days, and have a longer recovery time.

I was completely in shock as I was listening to Dr. S. tell me all of this.  My heart was racing and I was having trouble breathing. He recommended I make an appointment and he would fill me in on all the details and the process.  Dr. S. told me I still had the papillary cancer, and it was still in the very early stages.  He said he was glad I had gotten the ultrasound, because now he had the complete picture of what my health situation is, and he knows before hand, the direction the surgery needs to go in.

I hung up, and sat shocked and numb- staring at my wall. I stared to cry and utter a lot of four letter words under my breath.  Ryan and Cole were home, and I didn’t want to have them overhear me calling anyone to tell them. I was too upset anyway to talk.

Since then, I have let my family, friends, and Facebook friends know and the support has been overwhelming.  My sister and friends have told me this is bad news, but I am not going to die.  When it is all said and done, it is a complication, but I am going to be fine.

A day later, I am still in shock somewhat- just trying to absorb the situation.  I am going to make that appointment with Dr. S., to get the rest of the facts and ask questions.  I don’t believe I will need to have chemotherapy, but will more than likely have to undergo radioactive iodine therapy.

My family is already making plans to get me the help I need after the surgery, and I know I can count on my friends to help too.  I am very grateful for all the support and love I have.

So where do I go from here? I am not sure.  I am trying to keep a positive attitude and trying not to freak out.  I am trying to remember to take deep breaths and keep everything in perspective.

If anyone has been through this, the removal of lymph nodes, please let me know what your experience was.  It helps me to hear what others have gone through.

Please keep me in your thoughts and prayers.  I need all the positive energy that can come my way.  🙂