Goiter surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Thyroid surgery may be advised in cases of goiter | [[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]]. | ||
==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. | *[[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]]. | *[[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 nodules. | *[[Thyroid]] surgery helps supress the [[thyroid gland]] overactivity seen in goiter or thyroid nodules. | ||
*Types of thyroid surgery ([[thyroidectomy]]) advised based on the condition: | *Types of [[thyroid]] surgery ([[thyroidectomy]]) advised based on the condition: | ||
**''Subtotal thyroidectomy'' | **''Subtotal thyroidectomy'' | ||
**''Near-total thyroidectomy'' | **''Near-total thyroidectomy'' | ||
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*'''Preoperative indications:''' | *'''Preoperative indications:''' | ||
**Thyroid functional status should be determined | **Thyroid functional status should be determined | ||
**The patient should be brought to a euthyroid state | **The patient should be brought to a [[euthyroid]] state | ||
*'''Indications for surgery:''' | *'''Indications for surgery:''' | ||
**Cosmetic concerns | **Cosmetic concerns | ||
**Pressure symptoms | **[[Pressure]] symptoms | ||
**Suspected [[malignancy]] | **Suspected [[malignancy]] | ||
**Toxic goitre | **[[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]
- 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.
- 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
- Indications for surgery:
- Cosmetic concerns
- Pressure symptoms
- Suspected malignancy
- Toxic goitre
References
- ↑ Heimann, P. (1968). "Pathophysiological Aspects on Surgical Treatment of Thyroid Disease". 7: 1–55. doi:10.1159/000386297. ISSN 0079-6824.
- ↑ 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.
- ↑ 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.
- ↑ De Courcy, Joseph L. (1924). "SURGERY OF THE THYROID". Endocrinology. 8 (3): 420–426. doi:10.1210/endo-8-3-420. ISSN 0013-7227.
- ↑ Blair, Edward G. (1924). "SECONDARY OPERATIONS FOR GOITRE". Endocrinology. 8 (3): 448–455. doi:10.1210/endo-8-3-448. ISSN 0013-7227.
- ↑ 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.
- ↑ 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.
- ↑ 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.