A thyroid goiter growing up into the jaw instead of down into the chest

We're back for another edition of Royters Goiters with our very own Goiter Guru, Dr. Rashmi Roy!

We've covered thyroid goiters that grow down into the chest (substernal goiters), but today we have the case of a women whose goiter was growing up and into her jaw.

Watch the full video to see her pre-op photos, footage of me in the operating room, review her imaging and more!

Thyroid goiters come in all shapes and sizes, and remember, they are NOT always benign. All goiters require expert evaluation. If you have a thyroid goiter, schedule an evaluation with me here.


It's worth it to travel for expert care... do your research and find the best surgeon for you

We're back for another edition of Royters Goiters with our very own Goiter Guru, Dr. Rashmi Roy!

Today we have a young woman who knew about her goiter for years, but was afraid to have surgery. Eventually, her goiter was bulging out to a point she couldn't ignore and her symptoms were rapidly worsening.

Our patient lived in Pennsylvania and after tireless research, she decided she did not feel comfortable with any of the surgeons near her. She found us online and after reading through our website (https://www.thyroidcancer.com/) and watching Dr. Roy's videos on YouTube, she contacted us for an evaluation.

Watch the full video to hear more about her case, see footage of Dr. Roy in the operating room, review her imaging and more.

To become Dr. Roy's patient, fill out the form at this link and we'll be in touch with you shortly.


Dr. Roy operates on a YouTube follower! Hear directly the patient and see her in the operating room.

We're back for a very special edition of Royters Goiters with our very own Goiter Guru, Dr. Rashmi Roy.

This week, Dr. Roy operates on a YouTube follower who wanted to share her story in hopes of reaching others in similar situations.

Meet Tammy, a woman who had been struggling with her thyroid goiter for many years and suffering from classic symptoms like difficulty breathing and swallowing. Over the years, the goiter grew larger and larger until it was impossible to ignore.

Tammy lives in the Midwest and wasn't able to find a surgeon she was comfortable with... until she came across Dr. Roy's YouTube channel!

Watch the full video to hear directly from Tammy, see footage of her in the operating room, review her imaging, and more.

To become Dr. Roy's patient, fill out the form at this link and we'll be in touch with you shortly.


Watch me remove a massive, toxic multinodular thyroid goiter

Today we have a 56-year-old woman with two things going on - she had a very large thyroid goiter that was producing a lot of thyroid hormone. This is called a toxic multinodular goiter. The goiter was growing up and into her jaw as well as down and into her chest. Her thyroid hormone being so out of control was causing her to shake, lose weight and have difficulty sleeping.

Watch the full video to see footage of me in the operating room removing this massive thyroid goiter, review her imaging and hear how she's doing now.


A sternotomy is NOT required for your thyroidectomy - we remove huge thyroids through small incision

We're back for another edition of Royters Goiters with your very own Goiter Guru, Dr. Rashmi Roy!

In this week's interesting case, we have a mother from Texas with three young children at home. She was struggling with typical symptoms related to a massive thyroid goiter. She visited three different surgeons who all told her they would need to crack her chest and perform a sternotomy in order to remove the goiter. She was understandably apprehensive about having her chest cracked and continued searching for other options.

She found me on YouTube and ended up cancelling her scheduled surgery elsewhere to come to Tampa and see us.

Watch the full video to hear more details about her case, see footage of me in the operating room removing the goiter, and more.

We are so happy this patient is no longer struggling with her thyroid goiter and did not have to undergo a sternotomy!


Make sure to perform your own self checks -- Here's why

Interesting case of the week: The importance of checking your own neck with Dr. Rashmi Roy

We're back for another edition of Royters Goiters, as we wrap up #GoiterAwarenessWeek with our very own Goiter Guru!

This week, Dr. Roy is taking you into the operating room as she removes a massive cancerous growth.

So, what makes this case interesting? This patient's mass had been growing for 10+ years, but he had no idea. This case underscores the importance of performing self checks on a regular basis.

Not sure how to perform a self check? Check out Dr. Roy's instructional video here.


Become Our Patient

Founded by Dr Gary Clayman, the Clayman Thyroid Center is widely known as America’s leading thyroid surgery center performing nearly 2000 thyroid operations annually. Our reputation as the best thyroid surgeons means patients from all over the US and many foreign countries travel to Tampa for their thyroid surgery. With same-day evaluation and surgery scheduling, we make traveling for thyroid surgery convenient for every patient.

Become Our Patient Here


MYTH: Thyroid Goiters are NOT always benign

We're back for another edition of Royters Goiters with your Goiter Guru!

Today we have a 41-year-old woman who noticed a mass in her neck about six months prior to seeing me. Her symptoms developed to the point where she could barely breath.

So, what makes this case interesting? Final pathology revealed she had a 2 cm cancer within her goiter. When people hear "goiter", they think its always benign. That's not the case. The fact is, we find thyroid cancer in goiters 50% of the time. This is why it's so important to get your multinodular goiter evaluated by an expert.

Watch the full video to hear more about this patient's case, see me in the operating room removing her goiter, review her imaging and learn about her outcome.


How to check yourself for signs of thyroid cancer

We're diagnosing thyroid cancer more and more frequently-- especially in women. It's extremely important that you know how to feel your own neck for any lumps that could be symptomatic of thyroid cancer.

In this video, Dr. Rashmi Roy will walk you through how to perform this self-check and what to do if you do in fact find an abnormality.


When medical management fails Graves’ Disease patients

This week I saw a patient who was diagnosed with #GravesDisease several years ago. She was trying to manage her disease with several medications, none of which were working for her. While trying these medications, her thyroid grew substantially and she developed a large #GravesGoiter in her neck as well as Graves’ eye disease. Because her goiter was so large, she was suffering significant symptoms including difficulty breathing, swallowing and speaking.

I removed her thyroid gland with an operation that lasted about an hour. She spent some time in recovery and was discharged the following day without any complications.

Watch the full video to hear me discuss this case in detail, review her imaging and show you the specimen I removed.

If you have Graves’ Disease and you’re failing medical management, please consider surgery. It’s the best option for your recovery.


Interesting Case of the Week: Tracheal Deviation

Today we have a 49-year-old woman with a three-year history with her multinodular goiter. She was monitoring her goiter through regular ultrasounds and biopsies, but that unfortunately wasn't enough. Her thyroid mass grew so large that she was suffering significant symptoms, to the point that her trachea was completely pushed over to one side.

We were able to remove the right side of her thyroid gland, saving the left side so that she will not have to take thyroid hormone replacement. All of her symptoms are now gone and she's doing great!

Watch the full video to see the patient's neck before surgery, review her imaging and specimen, and hear Dr. Roy explain tracheal deviation and why it matters.


A thyroid goiter so large it grew into the carotid arteries

This patient was told by many surgeons that they wouldn't operate on her because of how involved her goiter was with the surrounding carotid arteries.

We were able to successfully operate in a procedure that lasted just about an hour, she suffered no complications and was able to go home the following day.


A multinodular goiter growing significantly into the chest

This patient's multinodular goiter grew substantially into his chest.

He was told by other surgeons that his chest would need to be cracked in order to remove it. We were able to successfully remove this goiter through a standard neck incision. He suffered zero complications and was able to go home the following day.


Huge mass in chest found 30 years after patient's previous thyroid surgery

This patient, who underwent thyroid surgery 30 years ago, was found to still have huge mass in her chest after getting a scan for another reason.

She was told multiple times by multiple surgeons that the only way to remove her goiter was the crack her chest.

I was able to use the same incision she already had in his neck to remove her goiter. She suffered zero complications and is doing great!


Young woman with a very large, one-sided goiter

This young woman's large thyroid goiter extended into her chest and was affecting both sides of her neck, despite being one sided.

When I was doing this operation, I started on the left side and had to go all the way to the other side of the neck to safely remove it.

This patient suffered zero complications and was able to go home the same day of surgery.


Interesting case of the week: Asymptomatic Substernal Goitersr

In this week's edition of Royters Goiters, we'll take you behind the scenes to learn about a patient with an asymptomatic substernal goiter.

This gentleman came into the ER with what he thought was a broken rib, but his scans revealed a substernal goiter extending significantly into his chest. He had no bulge in his neck, no trouble breathing, no difficulty swallowing and no changes in voice.

Luckily, this patient did not need a total thyroidectomy. I did a right thyroid lobectomy and was able to save the left side of his thyroid gland, so now he will not need to take any thyroid hormone supplements.

Watch the full video to learn more.


Interesting case of the week: Recurrent Laryngeal Nerve

We're back with another edition of Royters Goiters!

This week, we have a 48-year-old woman suffering from a very large goiter due to her Graves' disease. She was managing her Graves' disease with thyroid medication and monitoring her goiter, but she was still experiencing symptoms like difficulty speaking and breathing.

She was terrified of having surgery and avoided it for as long as she possibly could. But her symptoms progressed to the point that any activity at all was causing significant shortness of breath.

During her evaluation, we of course saw a very large mass, but much more concerning were her vocal cords. The left side of her vocal cord was almost paralyzed.

Continuing watching the video to learn more about the case, join me in the operating room and hear about this patient's outcome.


Bad advice led to a life threatening condition

This is a story about a patient getting very bad advice which led to a life threatening condition.

Today's patient is a young man in his 30s with a 15-year history of a mass in his thyroid. The mass was very, very large, but because of his weight it was difficult to notice.

He wasn't really experiencing any symptoms and was told time and time again by doctors that if it wasn't bothering him, it wasn't a problem. He continued to monitor it with ultrasounds.

By the time he started experiencing significant symptoms, the mass had grown into his chest and he was told by his doctors that it was too late to do anything about it. So again, he did nothing.

His symptoms got so severe that he could not walk, breath, or sleep normally. He even needed a CPAP machine when he slept because he would stop breathing due to his trachea being compressed so badly by this mass.

Continue watching the full video to see this patient in the operating room, learn about how we treated him and hear how he is doing today.


The importance of finding an expert thyroid surgeon for your thyroid goiter

This week's patient is a 51-year-old woman from Alabama. She has been monitoring her goiter through ultrasounds since 2015 and over time her symptoms progressed in severity from constant clearing of the throat, to difficulty swallowing, to the point of needing a CPAP machine to breath at night.

She knew she needed surgery. The first surgeon she saw told her that her goiter was too large and surgery would require cracking her chest. Understandably, she was frightened by this and sought a second opinion. The second, third, and fourth surgeon she saw all agreed and said they would indeed need to crack her chest open in order to remove the goiter.

Luckily, she found us online. After reviewing all of her imagining, I assured her that I would be able to successfully remove the thyroid goiter without cracking her chest through a small incision above her collarbone.

Watch the video to learn about this patients outcome, see her imaging and specimen after surgery, and find out what to look for when selecting a thyroid surgeon. It's the most important step on your road to being cured!