Surgical Management of Solitary Thyroid Nodule
Due to the increased frequency of thyroid cancer in these lesions, preoperative distinction between benign and malignant thyroid nodules is essential. Additionally, it helps avoid needless surgery and its negative effects, including hypothyroidism, hypocalcemia, and persistent nerve injury.
In this study, there were 135 cases of clinically detected solitary thyroid nodules, 126 female patients, 9 male patients, and patients between the ages of 14 and 65. The median patient age was 41 years old, the mean patient age was 39.76 years, and (94, 41) patients had more right-side thyroid effect than left-side thyroid effect, respectively. According to postoperative histology, 35 patients (26%) and 100 patients (74%) had malignant thyroid nodules, respectively. Postoperatively, 3 patients (2%) and 9 patients (7%) both developed temporary hypocalcemia and hoarseness. The likelihood of cancer developing in solitary thyroid nodules is high and is influenced by the preoperative evaluation, which includes the patient’s medical history, physical exam, ultrasound, FNAC test results, and intraoperative evaluation of the nodule. Malignant nodules typically have hypoechoic, micro-calcified, and cervical lymphadenopathy on thyroid ultrasonography, rapid growth by history, and a hard-fixed nodule on physical examination. There is no mention of age, the quantity of nodules, or the size of the nodules as risk factors for thyroid cancer in men. Fine needle aspiration cytology (FNAC) is more useful for diagnosis when carried out under ultrasound guidance and analysed by histopathologists with experience. Thyroid surgery is simpler when carried out by experienced surgeons.
Burkan Nasr Rashed Shaif,
Consultant General and Laparoscopic Surgery, At Al Thawra Modern General/ Teaching Hospital Sana`a and Saudi Hospital at Hajjah, Yemen.
Please see the link here: https://stm.bookpi.org/CPMS-V11/article/view/8030
Keywords: Surgical management, solitary thyroid nodule, nerve damage