*Thyroid nodules suspected to be malignant by history and FM, even if malignancy is not shown by other examinations, surgery is performed
*Surgical is applied to all nodules that are found to be malignant by FNAB and suspected of malignancy
*Surgery is performed for solitary nodules, patients under 25 years old and over 60 years of age because of the statistically high risk of malignancy
*Thyroid scintigraphy may have value in solitary nodules. Solitary cold nodules, USG solid and FNAB cancer cases are surgically performed
*Other lesions requiring surgery that do not cause symptoms such as local pressure or discomfort can be followed.
SURGERY IN HYPERTHROIDIA
medical follow-up
1-Thyroiditis
2-External intake of thyroid hormone
3-Basedow's Disease
Surgery
1-Choriocarcinoma and Causes of Ectopic Hyperthyroidism
2-Graves' disease
3-Toxic nodular goiter
Surgery in Graves' Disease (Diffuse Toxic Goiter):
1-Cancer or suspicious nodule
2-Compression symptoms
3-Intolerance to antithyroid drugs
4-Moderate-severe ophthalmopathy (especially in smokers)
5-Pregnancy, early pregnancy thought after treatment
6-RAI Those who do not want
7- Those who want rapid euthyroidism
8-Young people
***As you can see, being young is among the surgical indications in Graves' Disease.
Toxic Nodular Goiter Definitive Indications
1- If any of the nodules is suspected with FNAB or diagnosed as cancer.
2- Allergy, intolerance or toxication has developed against anti-thyroid drugs.
3- Planning to have a child soon.
4- Having complaints such as pain, difficulty in breathing, difficulty swallowing
5- Not wanting to be exposed to ionizing radiation.
Toxic Nodular Goiter Relative Indications
p>1-Thyroid gland volume over 100 ml,
2-Existence of substernal location or extension
3-Toxic nodule size of 3 cm or more
4-A single Finding a ( solitary ) toxic nodule.
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