Regular Follow-Up Exams
After surgery, thyroid hormone levels should be regularly monitored through blood tests every 3 to 6 months. Ultrasound examinations are also necessary to detect any signs of recurrence.
Hormone Levels and Blood Tests
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- lobectomy
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For patients who have undergone a lobectomy, thyroid hormone replacement may not be necessary if the remaining thyroid lobe produces adequate hormones. However, stopping medication should only be done under the supervision of a thyroid specialist, based on blood test results and clinical symptoms.
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- total thyroidectomy
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Patients who have undergone a total thyroidectomy will require lifelong thyroid hormone replacement therapy. The dosage may vary depending on the individual's overall condition, so regular blood tests are needed to adjust hormone levels appropriately.
In addition, total thyroidectomy may result in hypocalcemia due to impaired parathyroid function. Therefore, blood calcium levels should be monitored, and calcium supplements may be required.
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- Thyroid hormones
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Thyroid hormones have a half-life of about two weeks, so missing a dose for a day or two is usually not a concern. However, long-term discontinuation without medical guidance can have serious health consequences. In cases of hypocalcemia, continuous calcium supplementation is essential.
Lifestyle Management
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Iodine
While it is commonly advised to avoid iodine-rich foods, such dietary restrictions are only necessary when undergoing radioactive iodine therapy. For most patients, especially those following a typical Korean diet, limiting dietary iodine is not required. A well-balanced diet is generally recommended.
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Calcium and Vitamin D
If hypocalcemia develops after a total thyroidectomy, it is beneficial to consume foods rich in calcium and vitamin D.
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Work
Regular exercise, stress management, and activities that support immune health are important. In particular, returning to work promptly after thyroid cancer treatment has been shown to aid recovery and improve overall well-being.
Wound and Scar Care
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Medical adhesive glue
At Ain Hospital, medical adhesive glue is used to close thyroid surgery wounds. Therefore, there is no need for dressing changes or stitch removal. Like regular skin glue that naturally peels off in a few days, the medical adhesive will dissolve and come off on its own within 1 to 2 weeks during daily showers.
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Scar-prevention spray
Once the adhesive has come off, applying a scar-prevention spray for about one month can help prevent hypertrophic scars or keloids.
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Chest compression band
For patients undergoing robotic surgery, a chest compression band is worn temporarily during hospitalization. If discomfort continues in the surgical area, wearing the band for an additional 1 to 2 weeks may be recommended.