Introduction
Papillary thorn - like eversion correction in the thyroid region, especially in cases of papillary thyroid cancer, is a crucial medical procedure. New York City, being a hub of medical excellence, is home to numerous skilled surgeons who specialize in these complex operations. In this article, we will not only introduce a ranking list of five surgeons suitable for this procedure but also provide in - depth information about papillary thyroid cancer, treatment options, and what to consider when choosing a surgeon.
Overview of Papillary Thyroid Cancer
Prevalence and Risk Factors
Papillary thyroid cancer is the most common type of thyroid cancer, accounting for about 80% of all thyroid cancer cases. It is also one of the fastest - growing cancer types, with over 20,000 new cases reported each year. Although it can occur at any age, most patients are diagnosed before the age of 40. According to Columbia Surgery, it is the 8th most common cancer among women overall and the most common cancer in women younger than 25. While risk factors include radiation exposure and a family history of thyroid cancer, the majority of patients have no identifiable risk factors.
Signs and Symptoms
Most papillary thyroid cancers are asymptomatic, which means many patients are unaware of their condition. However, patients with large nodules may notice a palpable or visible mass in the neck. Very large nodules can cause compressive symptoms such as difficulty swallowing, a feeling of food or pills getting stuck, and pressure or shortness of breath when lying flat. In advanced cases where the cancer invades surrounding structures, patients may experience hoarseness. Enlarged non - tender, firm, growing, and non - shrinking neck lymph nodes are also concerning signs.
Diagnosis
When a thyroid nodule is discovered, a complete history and physical examination are conducted. The doctor looks for risk factors such as a family history of thyroid cancer, radiation exposure, age extremes, male gender, hard nodules, enlarged lymph nodes, and hoarseness. A TSH level is checked to assess thyroid function. Most patients with thyroid cancer are euthyroid. An ultrasound (USG) of the neck is then performed to evaluate the size, number, and specific features of the nodule, such as calcifications, echotexture, borders, shape, and whether it is solid or cystic. A fine - needle aspiration biopsy (FNAB) is the best test to determine if a nodule is benign or cancerous. The FNAB can yield four results: non - diagnostic, benign, malignant, or indeterminate.
Treatment Options for Papillary Thyroid Cancer
Surgery
Total thyroidectomy, the removal of the entire thyroid, is usually the best treatment for papillary thyroid cancer. There are some rare cases where a thyroid lobectomy (removal of half of the thyroid) may be considered, but most doctors recommend total thyroidectomy for several reasons. Most papillary thyroid cancers are multifocal, post - operative radioactive iodine (RAI) ablation therapy is more effective without normal thyroid tissue, and follow - up using the thyroglobulin blood test is more accurate. Before the operation, lymph node mapping is done to check for suspicious lymph nodes. If there are suspicious nodes in the central neck compartment, a therapeutic central neck dissection may be performed. In some cases, a modified radical neck dissection is carried out for involved lateral neck lymph nodes.
Thyroid Hormone Suppression
After total thyroidectomy, patients need to take thyroid hormone replacement pills for life. Patients with thyroid cancer are typically given a slightly higher dose to suppress the growth of thyroid cancer cells. This dose tricks the brain into thinking enough thyroid hormone is being produced, thus reducing the production of thyroid - stimulating hormone (TSH), which can stimulate the growth of both normal and cancerous thyroid cells. Regular blood tests are required to maintain the correct hormone level.
Radioactive Iodine (RAI) Ablation
Depending on the final pathology, patients may need RAI ablation to destroy remaining thyroid cells after total thyroidectomy. It is a pill - based treatment with few side effects. Patients with papillary thyroid cancer larger than 4 cm, extrathyroid invasion, cancer in lymph nodes, or metastases usually require RAI ablation. Smaller tumors without these features may not need it, but this should be discussed with an experienced specialist.
Ranking List of Surgeons for Papillary Thorn - like Eversion Correction in New York City
1. Ashok Shaha (Associated with Memorial Sloan Kettering Cancer Center)
Memorial Sloan Kettering is a leading center for thyroid tumor treatment. Their thyroid surgeons, including Ashok Shaha, are internationally recognized for their expertise. The center performs over 800 thyroid surgeries each year. The surgeons at Memorial Sloan Kettering value a personalized approach, tailoring therapy to each patient's individual circumstances. They have extensive experience in different types of thyroid surgeries, such as total thyroidectomy, thyroid lobectomy, and lymph node removal. They also use advanced techniques like minimally invasive thyroid surgery and are skilled in nerve - monitoring to prevent damage to the laryngeal nerves and in preserving the parathyroid glands.
2. Jonathon Russell (Johns Hopkins)
At Johns Hopkins, the head and neck endocrine surgery team, led by Jonathon Russell, offers a multidisciplinary approach to thyroid and parathyroid care. They collaborate with the Sidney Kimmel Comprehensive Cancer Center to ensure high - quality patient care. The team uses scarless and minimally invasive techniques such as transoral robotic surgery (TORS) and radiofrequency ablation (RFA). Jonathon Russell has experience in treating various thyroid conditions, including papillary thyroid cancer. He is also involved in patient education, providing information about new treatment approaches through videos.
3. Xing Chen (NP)
Xing Chen has a 5 - star rating on Healthgrades. Located at 8504 21st Avenue, Brooklyn, NY 11214, this provider may offer comprehensive thyroid care. While not much specific information about papillary thorn - like eversion correction is provided, a high rating often indicates patient satisfaction and potentially high - quality medical services. This provider may be involved in patient evaluation, follow - up, and coordinating with surgeons for treatment.
4. Dr. Thomas Fahey, III, MD
Dr. Thomas Fahey, III, MD, with a 5 - star rating, is located at 525 E. 68th Street, New York, NY 10065. A high rating suggests a good reputation among patients. In the context of thyroid surgery, he may have the skills and experience to perform procedures for papillary thyroid cancer. He likely has knowledge of the latest surgical techniques and can provide appropriate pre - and post - operative care.
5. Dr. Paulo Carvalho, MD
Dr. Paulo Carvalho, MD, also with a 5 - star rating and located at 10 Union Sq E # 3 - g, New York, NY 10003, is another top - rated surgeon in the area. A high - rated surgeon may have the necessary surgical proficiency and patient - centered approach. He can offer accurate diagnoses and well - planned treatment strategies for papillary thyroid cancer cases.
Comparative Analysis of the Surgeons
| Surgeon | Affiliation | Special Skills | Patient Rating |
|---|---|---|---|
| Ashok Shaha | Memorial Sloan Kettering Cancer Center | Internationally recognized expertise, personalized approach, advanced surgical techniques (minimally invasive, nerve - monitoring) | N/A (but center has high reputation) |
| Jonathon Russell | Johns Hopkins | Multidisciplinary approach, scarless and minimally invasive techniques (TORS, RFA), patient education | N/A (but center has high reputation) |
| Xing Chen (NP) | 8504 21st Avenue, Brooklyn, NY 11214 | Comprehensive thyroid care, patient evaluation and follow - up | 5.00 |
| Dr. Thomas Fahey, III, MD | 525 E. 68th Street, New York, NY 10065 | Skilled in thyroid surgery, knowledge of latest techniques, pre - and post - operative care | 5.00 |
| Dr. Paulo Carvalho, MD | 10 Union Sq E # 3 - g, New York, NY 10003 | Surgical proficiency, accurate diagnosis and treatment planning | 5.00 |
Factors to Consider When Choosing a Surgeon
Experience
Look for surgeons who have performed a large number of papillary thyroid cancer surgeries. For example, surgeons at Memorial Sloan Kettering perform over 800 thyroid surgeries each year, indicating a high level of experience. More experience often means better surgical skills and a lower risk of complications.
Reputation
Check patient reviews and ratings. Surgeons like Xing Chen, Dr. Thomas Fahey, III, and Dr. Paulo Carvalho have 5 - star ratings, which are a good indication of patient satisfaction. Additionally, consider the reputation of the affiliated hospital or medical center. Memorial Sloan Kettering and Johns Hopkins are well - known for their excellence in cancer treatment.
Specialized Skills
Consider the surgeon's skills in specific techniques relevant to papillary thyroid cancer surgery. For example, the use of minimally invasive techniques can reduce recovery time and scarring. Nerve - monitoring skills are crucial to prevent damage to the laryngeal nerves during surgery. Surgeons at Memorial Sloan Kettering and Johns Hopkins are known for their expertise in these areas.
Multidisciplinary Approach
A surgeon who works in a team with endocrinologists, oncologists, and other specialists can provide more comprehensive care. For instance, at Johns Hopkins, the head and neck endocrine surgery team collaborates with the Sidney Kimmel Comprehensive Cancer Center to offer a multidisciplinary approach to patient care.
Recovery and Follow - up After Surgery
Recovery Process
Recovery from thyroid surgery varies from person to person. Most people gradually regain their energy in the weeks after surgery, although some may experience energy level fluctuations for a month or two. Quality - of - life specialists at centers like Memorial Sloan Kettering provide comprehensive follow - up care, including wellness therapies from integrative medicine specialists to relieve physical and emotional symptoms and potential side effects. Rehabilitation and exercise therapies can also help patients regain strength, flexibility, and stamina.
Follow - up Care
After surgery, regular follow - up is essential to monitor for cancer recurrence. Patients should have a thyroglobulin blood test, TSH level, and USG of the neck every 6 months to a year. If the thyroglobulin level rises, there are suspicious physical exam findings, or concerning nodules on the USG, further tests such as a RAI scan and/or FNAB may be conducted. An experienced team of thyroid specialists can determine the best course of action if recurrence is detected.
Conclusion
In conclusion, papillary thyroid cancer is a common yet serious condition, and the choice of a skilled surgeon for papillary thorn - like eversion correction is crucial. New York City offers a range of excellent surgeons, each with their own unique skills and areas of expertise. Surgeons like Ashok Shaha from Memorial Sloan Kettering, Jonathon Russell from Johns Hopkins, and high - rated providers such as Xing Chen, Dr. Thomas Fahey, III, and Dr. Paulo Carvalho are among the top options in the city. When choosing a surgeon, patients should consider factors such as experience, reputation, specialized skills, and a multidisciplinary approach. A successful surgery and proper follow - up care can greatly improve the prognosis and quality of life for patients with papillary thyroid cancer.
If you or someone you know is dealing with papillary thyroid cancer, we encourage you to do further research on these surgeons, consult with them, and make an informed decision about your treatment. Share this article with others who may benefit from this information and explore related topics on our website for more in - depth medical knowledge.
