Don’t Have Thyroid Surgery in France! No Pre-op needle biopsy or referral to an endocrinologist.
Management before thyroidectomy was terrible leading to excess complications.
Adults who undergo thyroidectomy in France often receive suboptimal management before the procedure.
- Only 40% had a fine needle biopsy before surgery!
- 90% had thyroid-stimulating hormone assays performed, but only referral to an endocrinologist in half the participants regardless of their diagnosis.
3.In the 12 months after surgery, still referral to an endocrinologist was low, with 56% of participants with thyroid cancer and 34% of participants with benign nodules being referred.
4.Late complications varied from 17% to 23%, and rates for recurrent laryngeal nerve injury varied from 2.3% to 1.2%. More participants diagnosed with thyroid cancer also had hypoparathyroidism (5.7%) compared with those with benign nodules (1%).
5.35,300 in 2013, thyroidectomy is one of the surgical procedures most commonly performed in France,”
6. “The thyroidectomy rate with a diagnosis of benign nodules appears to be excessively high compared with the thyroidectomy rate with a diagnosis of thyroid cancer.
7. Partial compliance with guidelines prior to thyroidectomy, especially the low rate of fine-needle aspiration cytology, and referral to endocrinologists before indicates the need for large-scale diffusion of current guidelines and clinical practice evaluation by all professionals involved in the care pathway.
Comment: It looks like a trip to the USA for a detailed evaluation including complete endocrine evaluation, complete neck and thyroid ultrasound, needle biopsy, molecular markers could save many French complications and unnecessary excessive surgery or no surgery at all. Call Matt at 310-393-8860 for my personal evaluation. Even the French seem to have a problem with obtaining proper thyroid medical care short of excess surgery. We can evaluate you in 48 hours and determine the correct treatment for you.
Richard Guttler MD,FACE,ECNU