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The London Thyroid and ENT Clinic
Cancer clinic, London

The London Thyroid Clinic is dedicated to the accurate diagnosis and successful treatment of thyroid disorders. It is run along the guidelines produced by the British Association of Endocrine Surgeons. The objective of the clinic is to provide an integrated service staffed by a dedicated multidisciplinary team specialising in the assessment, diagnosis and treatment of benign and malignant thyroid disorders.


The London Thyroid Clinic is able to call upon an expert team of surgeons, radiologists, nuclear medicine consultants, cytologists, pathologists, endocrine physicians and oncologists, as well as specialist nurses in order to assure a first class service.


New patients are seen regularly with on site ultrasound scanning, general radiology and cytology.


All patients will have their operation discussed with them before surgery and will be given a written information sheet, so that surgery is always based on informed consent. A patient will not be asked to consent to proceed to further or alternative measures.


A thyroidectomy is removal of all (total thyroidectomy) or part (usually a thyroid lobectomy) of the thyroid gland. This may be required because the whole gland is enlarged (a goitre), or the gland is overactive, or there may be a nodule (a lump) on one side of the gland that needs to be removed to find out the cause of the lump.


If the entire gland is removed you will have to be on thyroxine tablets afterwards for the rest of your life. The correct dose varies for different people and can be monitored by a simple blood test. This does not affect your ability to lead a normal, active life.


If only part of the gland is removed most people will not need to take any tablets.


Occasionally the parathyroid gland is removed or damaged during thyroid surgery. In many cases where the whole gland is removed, the parathyroid glands tend to “shut down” for a few weeks. In these cases you will normally be put on calcium tablets for around a month to allow the parathyroid glands to recover. Very rarely the parathyroid glands do not recover and you may be on calcium tablets, as well as thyroxine, for the rest of your life.


Some patients who have surgery for thyroid cancer may need further treatment. This is decided when all the results of the specimens taken at operation have been fully analysed. In some cases this will involve treatment with radioactive iodine under the care of one of their expert Consultant Oncologists, who will discuss the treatment fully before it starts.

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