Thyroid adenoma surgery: Difference between revisions
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* The minimal surgical procedure is a thyroid [[lobectomy]], removing all [[thyroid]] tissue on the side of the lesion. | * The minimal surgical procedure is a thyroid [[lobectomy]], removing all [[thyroid]] tissue on the side of the lesion. | ||
===Indications=== | ===Indications=== | ||
* Ultrasound lesions with moderate risk according to TI-RADS classification, if the patient does not wish to undergo regular follow-up | |||
* Past exposure to radiation | |||
* FNAC class suspicious/requiring further investigations according to Schmid classification or class 3 according to Bethesda classification, as an alternative to monitoring at close intervals (even if no other indicators of malignancy are present) | |||
* Thyroid nodules and positive immediate family history for thyroid carcinoma | |||
* Subclinical or overt hyperthyroidism based on functional autonomy as an alternative to radioiodine therapy, if the latter is contraindicated or not reasonable or refused by the patient | |||
* For prevention of complications with progressive retrosternal growth (tracheal compression >35%, superior vena cava syndrome) | |||
* For cosmetic reasons with visible goiter | |||
* | * | ||
Revision as of 20:47, 28 February 2019
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Thyroid adenoma Microchapters |
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Thyroid adenoma surgery On the Web |
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Risk calculators and risk factors for Thyroid adenoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Thyroid lobectomy or thyroidectomy is recommended for all patients who develop pressure symptoms of thyroid adenoma.
Surgery
- The minimal surgical procedure is a thyroid lobectomy, removing all thyroid tissue on the side of the lesion.
Indications
- Ultrasound lesions with moderate risk according to TI-RADS classification, if the patient does not wish to undergo regular follow-up
- Past exposure to radiation
- FNAC class suspicious/requiring further investigations according to Schmid classification or class 3 according to Bethesda classification, as an alternative to monitoring at close intervals (even if no other indicators of malignancy are present)
- Thyroid nodules and positive immediate family history for thyroid carcinoma
- Subclinical or overt hyperthyroidism based on functional autonomy as an alternative to radioiodine therapy, if the latter is contraindicated or not reasonable or refused by the patient
- For prevention of complications with progressive retrosternal growth (tracheal compression >35%, superior vena cava syndrome)
- For cosmetic reasons with visible goiter