Thyroid Surgery 101: Maybe not everything!
Dr.Guttler’s comments: Limited information in this article.
1.A thyroid nodule should not be removed if it proves to be benign by cytology and molecular marker testing.
2. Indeterminate biopsy result is not a reason for surgery if the molecular markers are benign.
3. Benign nodules can be treated without surgery.
4. Cystic nodules with ethanol EIand solid ones with radiofrequency ablation RFA.
5.The nodules do not convert from benign to cancer in most cases. This scare tactic used by surgeons to get you to remove a benign nodule when doing nothing or alternative therapy is all that is needed.
6. Surgery for a benign symptomatic nodule is outdated expensive medicine when alternative minimally invasive alternative are now the treatment of choice for cysts and solid nodules.
7. Removal of just the isthmus is not recommended.
8. Surgery types did not include the lateral modified neck dissection for papillary thyroid cancer involving the neck lymph nodes at the same time as the total thyroidectomy.
9.This requires an accurate lymph node mapping ultrasound BEFORE the original surgery for papillary thyroid cancer.
Everything you need to know about thyroid gland removal
A thyroid nodule may require surgical removal.
A person is most likely to undergo thyroid removal surgery if:
- A nodule on the gland is cancerous or may become cancerous. Thyroid nodules are usually benign, but a doctor will take a biopsy to check.
- A thyroid nodule or the whole gland is enlarged and causing dangerous or bothersome symptoms, such as trouble swallowing, difficulty breathing, or changes to the voice.
- A person has an overactive thyroid (hyperthyroidism) that does not respond to other treatments. Graves’ disease or toxicity in one or more nodules can cause hyperthyroidism.
There are a few types of thyroid removal surgery. A doctor will recommend a certain type, after considering a range of factors, including the condition of the thyroid and a person’s overall health.
Types of thyroid removal surgery include:
- Hemithyroidectomy, or lobectomy. This involves removing one lobe (or half) of the thyroid. A doctor may recommend this surgery if a nodule or low-risk thyroid cancer is limited to one side of the thyroid.
- Isthmusectomy. This surgery removes the isthmus, a piece of tissue that connects the two lobes of the thyroid. Small tumors on the isthmus may only require an isthmusectomy.
- Total thyroidectomy. This involves removing the entire thyroid gland. Some cases of thyroid cancer, bilateral thyroid nodules, and Graves’ disease require a total thyroidectomy.