Thyroid cancer - papillary carcinoma: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency help for:
New or severe difficulty breathing
Rapidly increasing neck swelling, especially after surgery
Neck swelling with choking, faintness or inability to swallow saliva
Severe muscle spasms or seizures after thyroid surgery
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
After thyroid surgery, contact your surgical team promptly for worsening wound redness, discharge, fever, increasing pain or tingling and muscle cramps that could indicate low calcium.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you notice:
A new or growing lump at the front of your neck
Enlarged neck lymph nodes that do not settle
Hoarseness, swallowing difficulty or neck pressure that persists
New symptoms between planned cancer follow-up visits
Possible thyroid hormone symptoms, such as ongoing palpitations, marked tiredness or unusual sensitivity to heat or cold
And for anyone, someone who:
has noticed a lump, a mole that has changed, or unexplained weight loss
is having side effects from a medicine, or is struggling to take it as prescribed
The article also says
A stable thyroid lump without breathing or swallowing problems is not usually an emergency, but it should still be assessed.
Every sign above is quoted from the sofidex article on Thyroid cancer - papillary carcinoma. If you are not sure, err upward — it is always reasonable to be checked.