Goiter surgery: Difference between revisions

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{{Goiter}}
{{Goiter}}
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{ARK}}


==Overview==
==Overview==
Surgical intervention is not recommended for the management of [disease name].
[[Thyroid]] surgery may be advised in cases of goiter and depends upon the [[symptoms]] and [[adverse effects]] associated with the development of goiter such as, compression related symptoms, [[thyroid]] [[Hyperfunction|hyper-function]] and [[thyroid cancer]].


OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
==Surgery==
==Surgery==
[[Thyroid]] surgery may be advised in cases of goiter and depends upon the [[symptoms]] and [[adverse effects]] associated with the development of goiter such as, compression related symptoms, thyroid [[Hyperfunction|hyper-function]] and [[thyroid cancer]].<ref name="Heimann1968">{{cite journal|last1=Heimann|first1=P.|title=Pathophysiological Aspects on Surgical Treatment of Thyroid Disease|volume=7|year=1968|pages=1–55|issn=0079-6824|doi=10.1159/000386297}}</ref><ref name="Ríos2005">{{cite journal|last1=Ríos|first1=Antonio|title=Surgical Management of Multinodular Goiter With Compression Symptoms|journal=Archives of Surgery|volume=140|issue=1|year=2005|pages=49|issn=0272-5533|doi=10.1001/archsurg.140.1.49}}</ref><ref name="Jackson1924">{{cite journal|last1=Jackson|first1=Arnold S.|title=CONCLUSIONS BASED ON A STUDY OF FOUR THOUSAND CASES OF GOITER*|journal=Endocrinology|volume=8|issue=4|year=1924|pages=525–531|issn=0013-7227|doi=10.1210/endo-8-4-525}}</ref><ref name="De Courcy1924">{{cite journal|last1=De Courcy|first1=Joseph L.|title=SURGERY OF THE THYROID|journal=Endocrinology|volume=8|issue=3|year=1924|pages=420–426|issn=0013-7227|doi=10.1210/endo-8-3-420}}</ref><ref name="Blair1924">{{cite journal|last1=Blair|first1=Edward G.|title=SECONDARY OPERATIONS FOR GOITRE|journal=Endocrinology|volume=8|issue=3|year=1924|pages=448–455|issn=0013-7227|doi=10.1210/endo-8-3-448}}</ref><ref name="Taylor1953">{{cite journal|last1=Taylor|first1=Selwyn|title=THE EVOLUTION OF NODULAR GOITER|journal=The Journal of Clinical Endocrinology & Metabolism|volume=13|issue=10|year=1953|pages=1232–1247|issn=0021-972X|doi=10.1210/jcem-13-10-1232}}</ref><ref name="Martin1954">{{cite journal|last1=Martin|first1=Hayes|title=The surgery of thyroid tumors|journal=Cancer|volume=7|issue=6|year=1954|pages=1063–1099|issn=0008-543X|doi=10.1002/1097-0142(195411)7:6<1063::AID-CNCR2820070603>3.0.CO;2-Z}}</ref><ref name="BeahrsRyan1956">{{cite journal|last1=Beahrs|first1=Oliver H.|last2=Ryan|first2=Robert F.|last3=White|first3=Roy A.|title=COMPLICATIONS OF THYROID SURGERY*|journal=The Journal of Clinical Endocrinology & Metabolism|volume=16|issue=11|year=1956|pages=1456–1469|issn=0021-972X|doi=10.1210/jcem-16-11-1456}}</ref>
*[[Thyroid]] surgery involves thyroid [[lobectomy]]/hemi-[[thyroidectomy]] OR total [[thyroidectomy]], depending on whether goiter or nodule is [[cancerous]] or not.
*[[Surgery]] helps relieve symptoms related to compression such as [[dysphagia]], [[hoarseness]], [[cough]] and [[dyspnea]].
*[[Thyroid]] surgery helps supress the [[thyroid gland]] overactivity seen in goiter or thyroid nodules.


*Surgical intervention is not recommended for the management of [disease name].
*Types of [[thyroid]] surgery ([[thyroidectomy]]) advised based on the condition:
OR
**''Subtotal thyroidectomy''
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
**''Near-total thyroidectomy''
**[Indication 1]  
**''Total thyroidectomy''
**[Indication 2]
**''Thyroid nodulectomy''
**[Indication 3]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].


==Indications==
==Indications==
*'''Preoperative indications:'''
**Thyroid functional status should be determined
**The patient should be brought to a [[euthyroid]] state
*'''Indications for surgery:'''
**Cosmetic concerns
**[[Pressure]] symptoms
**Suspected [[malignancy]]
**[[Toxic multinodular goitre|Toxic goitre]]


==References==
==References==

Latest revision as of 17:58, 13 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]

Overview

Thyroid surgery may be advised in cases of goiter and depends upon the symptoms and adverse effects associated with the development of goiter such as, compression related symptoms, thyroid hyper-function and thyroid cancer.

Surgery

Thyroid surgery may be advised in cases of goiter and depends upon the symptoms and adverse effects associated with the development of goiter such as, compression related symptoms, thyroid hyper-function and thyroid cancer.[1][2][3][4][5][6][7][8]

  • Types of thyroid surgery (thyroidectomy) advised based on the condition:
    • Subtotal thyroidectomy
    • Near-total thyroidectomy
    • Total thyroidectomy
    • Thyroid nodulectomy

Indications

  • Preoperative indications:
    • Thyroid functional status should be determined
    • The patient should be brought to a euthyroid state

References

  1. ↑ Heimann, P. (1968). "Pathophysiological Aspects on Surgical Treatment of Thyroid Disease". 7: 1–55. doi:10.1159/000386297. ISSN 0079-6824.
  2. ↑ Ríos, Antonio (2005). "Surgical Management of Multinodular Goiter With Compression Symptoms". Archives of Surgery. 140 (1): 49. doi:10.1001/archsurg.140.1.49. ISSN 0272-5533.
  3. ↑ Jackson, Arnold S. (1924). "CONCLUSIONS BASED ON A STUDY OF FOUR THOUSAND CASES OF GOITER*". Endocrinology. 8 (4): 525–531. doi:10.1210/endo-8-4-525. ISSN 0013-7227.
  4. ↑ De Courcy, Joseph L. (1924). "SURGERY OF THE THYROID". Endocrinology. 8 (3): 420–426. doi:10.1210/endo-8-3-420. ISSN 0013-7227.
  5. ↑ Blair, Edward G. (1924). "SECONDARY OPERATIONS FOR GOITRE". Endocrinology. 8 (3): 448–455. doi:10.1210/endo-8-3-448. ISSN 0013-7227.
  6. ↑ Taylor, Selwyn (1953). "THE EVOLUTION OF NODULAR GOITER". The Journal of Clinical Endocrinology & Metabolism. 13 (10): 1232–1247. doi:10.1210/jcem-13-10-1232. ISSN 0021-972X.
  7. ↑ Martin, Hayes (1954). "The surgery of thyroid tumors". Cancer. 7 (6): 1063–1099. doi:10.1002/1097-0142(195411)7:6<1063::AID-CNCR2820070603>3.0.CO;2-Z. ISSN 0008-543X.
  8. ↑ Beahrs, Oliver H.; Ryan, Robert F.; White, Roy A. (1956). "COMPLICATIONS OF THYROID SURGERY*". The Journal of Clinical Endocrinology & Metabolism. 16 (11): 1456–1469. doi:10.1210/jcem-16-11-1456. ISSN 0021-972X.

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