Surgery in Thyroid Nodules

*Thyroid nodules suspected to be malignant by history and FM, even if malignancy is not demonstrated by other examinations, surgery is performed.

*Surgery is performed on all nodules that are found to be malignant by FNAB and suspected of malignancy.

*Surgery is performed for solitary nodules, patients under the age of 25 and over the age of 60, due to the statistically high risk of malignancy.

* Thyroid scintigraphy may have value in solitary nodules. Solitary cold nodules, USG solid and FNAB cancer suspected cases are surgically performed.

*Other lesions that do not show signs such as local pressure or discomfort that require surgery can be followed.


medical follow-up

2-External intake of thyroid hormone
3-Basedow’s Disease


1-Causes of Choriocarcinoma and 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, the idea of ​​pregnancy in the early post-treatment period
6-Those who do not want RAI
7- Those who want fast euthyroid
8-Young people

***As you can see, being young is among the surgical indications in Graves’ Disease.

Toxic Nodular Goiter Definitive Indications

1- Suspect or diagnosis of cancer in any of the nodules by FNAB.
2- Having developed allergy, intolerance or toxication to anti-thyroid drugs.
3- The plan to have a child in the near future.
4- Complaints such as pain, difficulty in breathing, difficulty in swallowing
5- Not wanting to be exposed to ionizing radiation.

Relative Indications of Toxic Nodular Goiter

1- Thyroid gland volume is over 100 ml,
2- Presence of substernal location or extension
3-The size of the toxic nodule is 3 cm or more
4-The presence of a single (solitary) toxic nodule.

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