01/02/2026
Interesting Case of the Week | Clayman Thyroid Center
This week’s case highlights a 19-year-old woman from New York who was found to have a very small, firm thyroid nodule during a routine physical exam. Further evaluation with ultrasound and biopsy confirmed papillary thyroid cancer. She was initially told she would need a total thyroidectomy—but at such a young age, she wanted to explore whether saving part of her thyroid was possible.
She reached out to the Clayman Thyroid Center, where our priority is always to preserve healthy thyroid tissue when it’s safe to do so. A high-resolution ultrasound revealed a tiny 4 mm cancer in the isthmus (middle of the thyroid), along with suspicious lymph nodes.
The surgical plan was carefully designed: begin by removing the middle portion of the thyroid and the lymph nodes behind it, then analyze those lymph nodes during surgery. If cancer was limited, she could keep most of her thyroid. If not, we would proceed with total thyroid removal. She understood both possibilities and felt confident going into surgery.
In the operating room, the lymph nodes did show diffuse cancer involvement, so a total thyroidectomy was necessary to fully cure her cancer.
Key takeaways from this case 👇
1️⃣ Expert ultrasound identified suspicious lymph nodes early
2️⃣ Intraoperative lymph node analysis guided the correct operation
3️⃣ The patient was cured with one well-planned surgery
Lymph nodes play a critical role in thyroid cancer and can be involved in up to 25% of small tumors. While saving thyroid tissue is always a goal, the biology of the cancer must guide the final decision.
Thanks to expert care, this patient received the right operation, the first time 💙
Learn more about the Clayman Thyroid Center:
https://www.thyroidcancer.com/about
To become a patient:
https://www.thyroidcancer.com/surgery