Lumped

Released on 25/12/2017

Key Learning Points

  • Diagnostic evaluation of thyroid nodules
  • Postoperative hypocalcemia
  • Postoperative scintiscanning
  • Scintiscans for the diagnosis of thyroid nodules
  • Suppressive therapy with thyroxine
  • The American Thyroid Association (ATA) risk stratification system
  • The TNM classification of thyroid malignancies
  • The role of frozen sections
  • The surgical approach for follicular neoplasms
  • Ultrasound classification of thyroid nodules
  • When to perform the second surgery

References

1. BOMELI SR, LEBEAU SO, FERRIS RL. Evaluation of a thyroid nodule Otolaryngol Clin North Am [online] 2010 Apr, 43(2):229-238 [viewed 27 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2879398
2. POPOVENIUC G, JONKLAAS J. Thyroid Nodules Med Clin North Am [online] 2012 Mar, 96(2):329-349 [viewed 27 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3575959
3. MCHENRY CR, PHITAYAKORN R. Follicular Adenoma and Carcinoma of the Thyroid Gland Oncologist [online] 2011 Apr 11, 16(5):585-593 [viewed 27 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228182
4. CARLING T, UDELSMAN R. Follicular neoplasms of the thyroid: what to recommend. Thyroid [online] 2005 Jun, 15(6):583-7 [viewed 27 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/16029125
5. MCHENRY CR, PHITAYAKORN R. Follicular adenoma and carcinoma of the thyroid gland. Oncologist [online] 2011, 16(5):585-93 [viewed 27 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/21482585
6. GLOCKZIN G, HORNUNG M, KIENLE K, THELEN K, BOIN M, SCHREYER AG, LIGHVANI HR, SCHLITT HJ, AGHA A. Completion thyroidectomy: effect of timing on clinical complications and oncologic outcome in patients with differentiated thyroid cancer. World J Surg [online] 2012 May, 36(5):1168-73 [viewed 28 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/22366982
7. SCHEUMANN GF, SEELIGER H, MUSHOLT TJ, GIMM O, WEGENER G, DRALLE H, HUNDESHAGEN H, PICHLMAYR R. Completion thyroidectomy in 131 patients with differentiated thyroid carcinoma. Eur J Surg [online] 1996 Sep, 162(9):677-84 [viewed 28 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/8908447
8. NOURELDINE SI, GENTHER DJ, LOPEZ M, AGRAWAL N, TUFANO RP. Early Predictors of Hypocalcemia After Total Thyroidectomy: An Analysis of 304 Patients Using a Short-Stay Monitoring Protocol JAMA Otolaryngol Head Neck Surg [online] 2014 Nov, 140(11):1006-1013 [viewed 28 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4316663
9. SINGER MC, BHAKTA D, SEYBT MW, TERRIS DJ. Calcium management after thyroidectomy: a simple and cost-effective method. Otolaryngol Head Neck Surg [online] 2012 Mar, 146(3):362-5 [viewed 28 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/22237298
10. JONES MK. Management of papillary and follicular thyroid cancer J R Soc Med [online] 2002 Jul, 95(7):325-326 [viewed 28 August 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1279933