Lets start at a little background
The Thyroid gland is the largest gland in the neck sitting just above the clavicle. It makes and stores hormones that help regulate the heart rate, blood pressure, body temperature, and the rate at which food is converted into energy. The function of the thyroid, therefore, is to regulate the body's metabolism.
*So there I was with a coworker learning about the thyroid and he offered to demonstrate on me how to do a proper neck exam... It didnt take much before he stopped and said you realize you have a HUGE right nodule?? I said well no not really -- my neck had always felt this way...
**ok back up to PA school where yes one of my professors had mentioned that they felt something on the right side of my neck and yes they said I should get it checked out, but like most of our patients I felt like i was 25 and in good health and really stressed with school and with lack of good insurance might as well wait til i get a good job and sort it out later... which turned into ignoring the issue entirely!!**
He said I should get it checked out right away. I had an ultrasound the following day which showed a decent sized mass in my neck with several prominent lymph nodes associated with it. I then had a fine needle aspiration biopsy which came back positive for...
Papillary Thyroid Carcinoma
It is now ranked as the 8th most common cancer in women in
the United States, and the most common
cancer in women under the age of 25 years. Being diagnosed with
papillary thyroid cancer can be very scary at first, however papillary thyroid
cancers are most often slow growing tumors, and most can be
removed surgically. Although slow-growing, papillary thyroid cancer can
sometimes spread to the lymph nodes in the neck. Unlike some other tumors,
positive lymph nodes do not usually worsen the generally
excellent prognosis for the involved lymph nodes can be
surgically removed along with the thyroid. Most people diagnosed with
PTC will not die from it.
*They
still dont really know what causes this cancer. Mostly it is related to
exposure to lots of radiation in the neck as a child (which used to be a
treatment for acne etc)... I did not have any such thing... so this is just one
of those random instances where DNA's failsafe went wrong.
Papillary cancer is the
most common, and most treatable, type of thyroid cancer. Most
people with papillary thyroid cancer can be completely cured with
surgery. There are more than 20,000 new cases of papillary thyroid cancer
diagnosed in the United States every year. In fact, papillary cancer comprises
at least 85% of all diagnosed thyroid cancers. Most people develop papillary
thyroid cancer before age 40, and it is much more common in women than in men
(about 3 to 1 ratio), although the reason for this is not understood. The
majority of people with papillary thyroid cancers do not even know they have
the disease until a doctor notices a painless thyroid lump.
*So I met with an oncology (cancer) surgeon later in the
week and he scheduled me for a total thyroidectomy (removing all of the thyroid
gland) and a central node dissection (removal of the central lymph nodes of the
neck) on March 1st. It will mean I will have to be on a synthetic hormone pill the rest of my life, but that really isn't a large sacrifice to make when it comes to cancer.
I will say to think of cancer at any age is rough, but a
week ago i had no medical problems. I was a wife and planning for the
future. Although if you are to have a cancer- thyroid isnt the worst one
out there. IT IS VERY TREATABLE... and even CURABLE with surgery. Even if it is in my lymph nodes, I WILL BE FINE. I will likely need iodine radiation treatment as well (about a month after the operation). Although that is
for another blog.
The purpose of this was to say THANK GOD...
SERIOUSLY THANK GOD I am where and I and surrounded by such great people.
If I was still in CA i would have never known... and even then the cancer
is S L O W growing and may never have caused a problem. In the span of
one week, I got more information and help than most people do in a year with
this diagnosis. That is a blessing! I have so much to be grateful
for. At least this way I have my husband, my coworkers and now all my
doctors who are there to see me through this. I wont lie- I am very
scared of surgery. For those that know me, I have never even so much as
broke a bone. Definitely never been hospitalized. And the stigma of
cancer hurts no matter what the type.
One thing is for sure, I need to get myself
healthy. James and I have joined the YMCA, where I am swimming twice a week
and despite my knee problems, working out in the gym as well. This is a wake
up call to put value on myself and get healthy for the future. My plans
are all still there, but sadly will have to be put on hold for just awhile
longer.
Thank you all for your prayers, support and concerns- I am
coming to terms with it all and proud to have so many people in my life to
count on when I need it most.
Next time i ll go more into the actual surgery...
Deanie and I praise God for your faith and for the many knowledgable and caring friends and co-workers who surround you. You and James are in our prayers. David and Deanie
ReplyDeleteYou are a strong woman who has been blessed to be surrounded by a strong support system. I will keep you in my thoughts. Hey, you know what? You should plan a really cool vacation after you get through all this, or at least think about it! Love Ya! Carrie
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