Surgical Group of Johnson City
Thyroid Surgery

Thyroid Disease

Surgeons treat several disorders of the thyroid but the most common are cancer and thyroid nodules. A solid nodule of the thyroid can be an indication of underlying malignancy and should be evaluated. This is usually done with ultrasound and a fine needle aspiration. Depending on the cell type, the thyroid lobe may or may not need to be removed. One example would be the follicular cell type. The presence or absence of cancer can only be diagnosed with removal. Most thyroid lobectomies can be done as an outpatient with a 23 hour stay and return to work in less than a week.

Thyroid cancer is only treated with surgical removal. This usually results in an excellent prognosis. Most of the time, the whole gland will need to be removed and this too can be done with a 23 hour stay. Return to work is usually 7-10 days and no chemotherapy is required. Replacement hormone therapy is done daily with the ingestion of a pill.

All of our surgeons are experienced in the surgical care of thyroid disease.


Hyperparathyroidism is the result of abnormally increased activity of the parathyroid glands. This is diagnosed by a high calcium level in the blood and an elevated parathyroid hormone level. This can be the result of a single hyperfunctoning gland (adenoma), or all 4 glands functioning abnormally. If left untreated this can result in severe weakening of the bones, nervousness, mental status changes, various gastrointestinal complaints and if the calcium level gets high enough, death.

Surgical treatment results in a cure. This can usually be done with a minimally invasive approach using a new technique called the Neoprobe. This allows us to identify the offending gland prior to making an incision so that the incision is much smaller and the amount of surgery is less. This results in a less painful and more cosmetic result. Results are excellent.

Our surgeons perform this new and state of the art minimally invasive approach to parathyroid surgery.