{"id":2704,"date":"2023-10-14T19:38:05","date_gmt":"2023-10-14T19:38:05","guid":{"rendered":"https:\/\/www.saintjohnscancer.org\/blog\/?p=2704"},"modified":"2026-10-22T15:46:40","modified_gmt":"2026-10-22T15:46:40","slug":"diagnosed-with-a-rare-thyroid-cancer-lee-ann-goya-is-cancer-free","status":"publish","type":"post","link":"https:\/\/www.saintjohnscancer.org\/blog\/endocrine\/diagnosed-with-a-rare-thyroid-cancer-lee-ann-goya-is-cancer-free\/","title":{"rendered":"Diagnosed with A Rare Thyroid Cancer, Lee Ann Goya is Cancer Free"},"content":{"rendered":"\n<h2>Lee Ann Found Trust in Dr. Melanie Goldfarb Before She Discovered She Had Hurthle Cell Carcinoma<\/h2>\n<p>Diagnosed in September 2022 with a stage 1 Hurthle cell thyroid carcinoma, a rare and more aggressive form of thyroid cancer, Lee Ann Goya decided to remove her entire thyroid despite her personal feelings towards Western medicine. Lee Ann&rsquo;s unwillingness to surgically remove her thyroid stemmed from her ill regard towards Western medicine. &ldquo;I get a little suspicious with Western medicine because it&rsquo;s my thinking that sometimes they want to take out the thing that is not working and not have preventative care.&rdquo; What changed her mind then? She found trust in Dr. Melanie Goldfarb, her surgical oncologist, and the Saint John&rsquo;s medical staff. <\/p>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: -25px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">Dr. Goldfarb, she didn&rsquo;t just come straight out and say she was going to take it out, she listened to me and my concerns. That&rsquo;s what I like. When a doctor listens to me and my needs and my concerns. She was there for me. It was my first time going under. I had fears of dying. I felt with Dr. Goldfarb&hellip; it felt like I was being held.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Lee Ann Goya<\/p>\n<\/div>\n<p>Because Lee Ann has an aggressive thyroid cancer that is more likely to metastasize to other body parts, she was prescribed a higher dose of hormone medication to suppress Hurthle cell growth. That being the case, Lee Ann is currently considered one year cancer free.<\/p>\n<h3>How to Treat Hurthle Cell Carcinoma?<\/h3>\n<p>Interestingly, even though Lee Ann has an aggressive cancer, differentiated thyroid carcinomas are highly treatable and have one of the best survival rates.<sup>1<\/sup><\/p>\n<p>Initially, Dr. Goldfarb removed the right half Lee Ann&rsquo;s thyroid because Lee Ann still wanted to keep part of her thyroid. &ldquo;At first, I wanted to try a less invasive approach to surgery,&rdquo; and Dr. Goldfarb said she would try another approach called radiofrequency ablation (RFA). However, RFA is typically a treatment for benign thyroid nodules and in a very specific instance, cancer. Surgery was Lee Ann&rsquo;s only option after her biopsy came back positive for cancer.<\/p>\n<p>One week later, Dr. Goldfarb removed the left side of Lee Ann&rsquo;s thyroid after pathology identified she had a more aggressive thyroid cancer which could recur if left in Lee Ann&rsquo;s body. In addition, a thyroidectomy is the mainstay of treatment of Hurthle cell tumors.<\/p>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: -25px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">I felt bad saying I had no symptoms or side effects. Even having my thyroid out, there were no complications there.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Lee Ann Goya<\/p>\n<\/div>\n<figure id=\"attachment_2705\" aria-describedby=\"caption-attachment-2705\" style=\"width: 350px\" class=\"wp-caption alignright\"><img style=\"margin-top:-25px\" alt=\"Lee Ann Goya, Thyroid Cancer Survivor\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-2705\" data-original=\"https:\/\/www.saintjohnscancer.org\/blog\/wp-content\/uploads\/sites\/11\/2023\/10\/Lee-Ann.jpg\"><figcaption id=\"caption-attachment-2705\" class=\"wp-caption-text\">Lee Ann Goya, thyroid cancer survivor, and her partner, prior to the thyroidectomy procedure<\/figcaption><\/figure>\n<p>Lee Ann&rsquo;s only symptom was a 4-centimeter tumor protruding from her neck. She explained jokingly she would have kept her nodule too. She didn&rsquo;t care others could see it; she didn&rsquo;t have to.<\/p>\n<p>Lee Ann received adjuvant Radioactive Iodine (RAI), which is commonly used for high-risk features such as tumors sizes greater than 2 centimeters, cervical lymph nodes metastasis, or positive margins in Hurthle cell carcinomas.<sup>1<\/sup><\/p>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: 10px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">I&rsquo;m glad I made the decision and I&rsquo;m glad that I trusted her.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Lee Ann Goya<\/p>\n<\/div>\n<h3 style=\"font-size: 22px;line-height: 24px;font-weight: 500;text-align: center;padding-top: 25px\">Listen to Lee Ann Goya Overcome Her Fear of Surgery<\/h3>\n<p><iframe loading=\"lazy\" title=\"Hurthle cell carcinoma diagnosis of the thyroid gland, Lee Ann realized she had to remove it\" width=\"756\" height=\"425\" src=\"https:\/\/www.youtube.com\/embed\/w9kHTXy2bdE?rel=0&amp;showinfo=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p style=\"text-align: center;font-size: 14px;line-height: 14px;margin-top: 15px;color: #101010\">Lee Ann Goya speaks with SJCI staff at Saint John&rsquo;s Health Center alongside Dr. Goldfarb.<\/p>\n<h3>Hurthle Cell Thyroid Carcinoma Facts<\/h3>\n<ul>\n<li>A rare aggressive form of thyroid cancer with a high rate of metastasis which may spread to the lungs, lymph nodes, bones, and infrequently the brain.<\/li>\n<li>Hurthle cells have somatic mutations in their mitochondria DNA.<\/li>\n<li>Used to be considered a variant of follicular thyroid carcinoma (the most common type of thyroid cancer) and now is defined as a follicular thyroid cell &ldquo;derived&rdquo; cancer.<\/li>\n<li>Presents more in women and people assigned female at birth (AFAB)<\/li>\n<li>Typically diagnosed after 40 years of age<\/li>\n<li>Represents in about 5 percent of all differentiated thyroid cancers.<\/li>\n<li>Hurthle cell is a cell in the thyroid gland that can be associate with Hashimoto&rsquo;s disease.<\/li>\n<\/ul>\n<h4>Advice from Lee Ann to others:<\/h4>\n<figure id=\"attachment_3237\" aria-describedby=\"caption-attachment-3237\" style=\"width: 400px\" class=\"wp-caption alignright\"><img alt=\"Lee Ann shares her thyroid cancer journey\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-3237\" data-original=\"https:\/\/www.saintjohnscancer.org\/blog\/wp-content\/uploads\/sites\/11\/2023\/10\/Lee-Ann-shares-her-thyroid-cancer-journey.jpg\"><figcaption id=\"caption-attachment-3237\" class=\"wp-caption-text\">Lee Ann explains how she was able to make difficult decisions.<\/figcaption><\/figure>\n<ol>\n<li>Go in there with an open mind.<\/li>\n<li>Listen to what the doctor has to say.<\/li>\n<li>Look at the options, do your research, and challenge the doctor: go in with your own questions and worries. Sometimes you need challenge the doctor, and if they&rsquo;re good, they won&rsquo;t take offense and they&rsquo;ll go with it.<\/li>\n<li>It was important that I really trust Dr. Goldfarb. I am very grateful to have someone that knew what they were doing. I would have never known. It was sort of a silent thing.<\/li>\n<\/ol>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: -25px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">I&rsquo;m living a normal life.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Lee Ann Goya<\/p>\n<\/div>\n<h4>To Dr. Goldfarb and Providence, Saint John&rsquo;s Health Center&rsquo;s staff:<\/h4>\n<p>Thank you for taking care of me, being attentive, for checking in with me, giving me call backs&mdash;that kind of care makes a patient be seen and heard. I appreciate what you do and saving other people&rsquo;s lives out there. I feel like this whole experience was a gift. Maybe I feel a little bit better about western medicine, ok, we can work together. Maybe when I see you again, I bring another box of cream puffs!<\/p>\n<h4>Lee Ann&rsquo;s Care Team!<\/h4>\n<p><a href=\"https:\/\/www.saintjohnscancer.org\/about-us\/people\/melanie-goldfarb\/\">Dr. Melanie Goldfarb<\/a> &ndash; Professor of Surgery at Saint John&rsquo;s Cancer Institute. Dr. Goldfarb oversaw Lee Ann&rsquo;s treatment plan and surgery. Dr. Goldfarb is the Director for Cancer Survivorship at Saint John&rsquo;s Health Center. She is the Director of the Center for <a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/\">Endocrine Tumors and Disorders<\/a>.<\/p>\n<p><a href=\"https:\/\/www.saintjohnscancer.org\/about-us\/people\/sarah-rettinger\/\">Dr. Sarah Rettinger<\/a> &ndash; Endocrinologist at Saint John&rsquo;s Health Center. Dr. Rettinger oversees Lee Ann&rsquo;s medication dosage. Lee Ann will visit Dr. Rettinger for any changes in medication, and to make sure she remains on the path to a happy healthy lifestyle. Dr. Rettinger and Dr. Goldfarb work closely together on individual cases.<\/p>\n<p><a href=\"https:\/\/www.saintjohnscancer.org\/blog\/endocrine\/your-journey-with-thyroid-cancer-a-thyroid-surgeon-and-an-endocrinologist-expound\/\">Hear Dr. Goldfarb and her team discuss some concerns of thyroid cancer and answer prevalent questions asked in the clinic.<\/a><\/p>\n<h5>Resources<\/h5>\n<ol>\n<li><a>https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK568736\/<\/a><\/li>\n<\/ol>\n\n","protected":false},"excerpt":{"rendered":"<p>Lee Ann Found Trust in Dr. Melanie Goldfarb Before She Discovered She Had Hurthle Cell Carcinoma Diagnosed in September 2022&#8230;<\/p>\n","protected":false},"author":63,"featured_media":2706,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[135],"tags":[],"class_list":["post-2704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endocrine"],"acf":{"doc_author":"0","header_scripts":""},"_links":{"self":[{"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/posts\/2704","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/users\/63"}],"replies":[{"embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/comments?post=2704"}],"version-history":[{"count":0,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/posts\/2704\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/media\/2706"}],"wp:attachment":[{"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/media?parent=2704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/categories?post=2704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/blog\/wp-json\/wp\/v2\/tags?post=2704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}