Endocrine Society of India management guidelines for patients with thyroid nodules: A position statement

Unnikrishnan, Ambika Gopalakrishnan; Kalra, Sumit; Baruah, Manash P; Nair, Gopalakrishnan C; Nair, Vasantha; Bantwal, Ganapathi; Sahay, Rakesh

doi:10.4103/2230-8210.77566

Cited by 51 publications

(57 citation statements)

References 26 publications

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“…A female preponderance was noted in our study with 338 (82.62%) cases. Similar female preponderance was noted by Unnikrishnan et al 9 As reported by Tsegaye et al 85.7% per cent of the thyroid diseases were found in the age group 20-59 years. 10 In present study, 71.51% cases were in the similar age group.…”

Section: Discussionsupporting

confidence: 71%

Cytopathological evaluation of various thyroid lesions based on Bethesda system for reporting thyroid lesions

2017

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Background: An encouragement for the thyroid proposal was the Bethesda system for reporting cervical cytology interpretations, a uniform reporting system for thyroid FNA will facilitate effective communication among health care providers. The objective of the present study was to classify thyroid lesions in various categories under Bethesda system correlating the cytological findings in various thyroid lesions with clinical and radiological details.Methods: A retrospective study on FNAC thyroid was performed in a tertiary hospital and a Medical teaching institution in Mumbai, Maharashtra, India which included cases which were reported from 1st January 2010 to 31st July 2011. For cytomorphological analysis, all smears (Papanicolaou and MGG) were reviewed and cases were categorized into six Bethesda categories. The FNAC findings were correlated with clinical, radiological and laboratory findings. Discrepancies between original diagnosis and review diagnosis as well as difficulties encountered during application of Bethesda were studied in detail.Results: Total 413 FNACs were received during the study period. The original diagnoses included 10 different categories or labels some of which were descriptive. On application of Bethesda, maximum cases were found in category II (82.32%) followed by category I i.e. inadequate (7.7%). Category III (Atypia of Undetermined significance) included wide spectrum of cases which were previously diagnosed as goitre, suspicious or neoplastic.Conclusions: Bethesda system of reporting thyroid FNAC has brought uniformity in cytology reporting. It has facilitated better understanding between cytopathologist and clinicians as every category connotes specific risk of malignancy and recommends treatment.

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Section: Discussionsupporting

confidence: 71%

Cytopathological evaluation of various thyroid lesions based on Bethesda system for reporting thyroid lesions

2017

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“…Multi-nodular goiter (MNG) is one of the commonest thyroid gland disease [1] which sometimes presents with shortness of breath and dysphasia due to compression of the trachea and esophagus, as well as obstruction of venous flow in the head and neck. Surgery is an important treatment option in the presence of indications (compressive symptoms, high suspicion of malignancy, hyperthyroidism, cosmetic preference, etc.)…”

Section: Introductionmentioning

confidence: 99%

“…There are several alternative procedures for thyroid gland operation such as subtotal thyroidectomy (STT), neartotal thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure), and total thyroidectomy (TT). But the surgical procedure of choice is still under discussion [1][2][3]. There are some studies which prefer TT method because of the lower incidence of goiter recurrence and less frequent need for completion thyroidectomy, especially when there is a bilateral gland involvement posterior to middle thyroid veins [4,5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

et al. 2015

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Multi-nodular goiter (MNG) is one of the commonest thyroid gland disease. Surgery is an important treatment option in the presence of indications. There are several alternative procedures for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure), and total thyroidectomy (TT), but the surgical procedure of choice is still under discussion. In this study, 173 consecutive patients with multi-nodular goiter underwent thyroid operation in the department of surgery of Pursina Hospital in Rasht-Iran, using two different methods: Dunhill operation and total thyroidectomy. Outcome assessment was performed 4 days after surgery, 2 weeks, 1, 2, 10, and 20 month after surgery. Preoperative assessment, seroma, recurrent laryngeal nerve palsy, hypocalcaemia rates, and rates of other postoperative complications, final pathology, and recurrence were compared in two methods. Due to the high incidence of malignancy in this survey, TT can be the method of choice for MNG surgery. Also, TT will be more beneficial in the surgical treatment of benign thyroid disorders, especially those which are bilateral or extended to substernal space or which presented with compression symptoms.

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“…Using ultrasonography, in an area with borderline iodine deficiency, MNG is found in approximate 23% of the general population [2]. Medical care or radioactive iodine may use for larger goiters, but the best choice of MNG treatment is surgery, especially in cosmetic problem, compressive symptom, toxicity and suspicion of malignancy [3]. There are several methods for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure) and total thyroidectomy (TT).…”

Section: Introductionmentioning

confidence: 99%

“…There are several methods for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure) and total thyroidectomy (TT). But the surgical method of benign thyroid disease treatment is still controversial [3,4].…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcome of Total Thyroidectomy for Multinodular Goiter

Toluee

Hedayati-Emami

Barzegar-Savasari

et al. 2015

Zahedan J Res Med Sci

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Background:In cosmetic problems, compressive symptoms, toxicity and suspicion of malignancy, the best choice of multinodular goiter treatment are surgery. There are several surgical methods. Here we managed to describe the results of total thyroidectomy method for multi nodular goiter surgeries. Patients and Methods: In this cross sectional study, from January 2009 to January 2011, 101 included patients with multi nodular goiter underwent total thyroidectomy. Outcome assessment was performed for two weeks, 1 month, 2 months, 10 months and 20 months after surgery for each patient. All data were analyzed with using SPSS-19 software. Results: Of 101 included cases, with mean age of 47.1 ± 12.9 years, 10 cases were male and 91 cases were female. Bilateral gland involvement showed in 88.11%. The fine needle aspiration results were negative for malignancy in 41.6% of patients and were indeterminate and suspicious in 53.5% and 5% of cases. Transient recurrent laryngeal nerve palsy was observed in only one case. Transient hypocalcaemia showed up in 25 patients. Incidental malignancy was determined in 15.84% of patients: one patient with medullary carcinoma, two cases with folicullar carcinoma and 13 patients with papillary carcinoma. All these cases were female and had been presented bilateral involvement of multi nodular goiter. No recurrence appeared. Conclusions: We believe that, despite the higher rate of post-operative complications, total thyroidectomy will be more beneficial in the surgical treatment of benign thyroid disorders.

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Endocrine Society of India management guidelines for patients with thyroid nodules: A position statement

Cited by 51 publications

References 26 publications

Cytopathological evaluation of various thyroid lesions based on Bethesda system for reporting thyroid lesions

Cytopathological evaluation of various thyroid lesions based on Bethesda system for reporting thyroid lesions

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

Treatment Outcome of Total Thyroidectomy for Multinodular Goiter

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