Ali Fedotowsky-Manno Shares ‘Unsettling’ Update on Husband Kevin’s Thyroid Cancer Nearly 1 Year After Becoming ‘Cancer Free’

The Bachelorette alum Ali Fedotowsky-Manno has an update on her husband Kevin Manno’s thyroid cancer.

In January 2025, the couple revealed on Instagram that Kevin was diagnosed with papillary thyroid cancer, which they described as “very treatable.” Kevin, now 42, had “2 malignant spots on his right side” and the cancer appeared to be “in one lymph node.”

He received surgery in February, and half of his thyroid was removed.

In posts to her Instagram Stories on Jan. 23, Ali, 41, shared that Kevin had a “follow up ultrasound recently because only half his thyroid was taken out when he had the cancer removed.”

The recent ultrasound found “a spot that we need to watch,” Fedotowsky-Manno wrote, admitting that it “is definitely unsettling because ‘a spot that we needed to watch’ is how we found his thyroid cancer the first time.”

Never miss a story — sign up for PEOPLE’s free daily newsletter to stay up-to-date on the best of what PEOPLE has to offer​​, from celebrity news to compelling human interest stories.

Unlike the recent finding, Kevin’s cancer was initially found through a full-body scan with Prenuvo in 2024, the couple said in a January 2025 Instagram post. The scan detected two spots on his thyroid, despite having “perfect” blood work and zero symptoms.

His primary care doctor then advised him to return in a year to check on the spot. He got an ultrasound, which found the spot had “doubled in size.” A biopsy later confirmed his diagnosis.

Weeks later, he underwent the surgery, and Ali posted a photo of him in the hospital beforehand on her Instagram.

“Kevin is headed into surgery. And in true @kevinmanno fashion he is making me and everyone around him laugh. We feel all of your love. Thank you for it ❤️. You’ve got this @kevinmanno 💪🏻,” she captioned the photo.

Two weeks later, they announced that the pathology report came back negative and Kevin was “officially” cancer-free.

The couple tied the knot in March 2017, and share two children, daughter Molly, 9, and son Riley, 7.

The National Cancer Institute reported roughly 44,020 new cases of thyroid cancer in 2024, which marked 2.2% of all new cancer cases.

While Kevin noted he had no symptoms at the time of diagnosis, thyroid cancer does have a few signs or symptoms, which can vary for patients. Symptoms include a lump or nodule in the front of the neck, an enlarged thyroid, pain in the front of the neck that may stretch to the ears, a change in voice, breathing problems, a persistent cough, a cough with blood or swallowing problems, according to the MD Anderson Cancer Center.

According to the American Thyroid Association, neck examinations are a “common way” that doctors detect thyroid cancer. “Blood tests generally do not help to find thyroid cancer and thyroid blood tests such as TSH are usually normal, even when a cancer is present,” the association notes.