*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.
SURGERY IN HYPERTHROIDIA
2-External intake of thyroid hormone
1-Causes of Choriocarcinoma and Ectopic Hyperthyroidism
3-Toxic nodular goiter
Surgery in Graves’ Disease (Diffuse Toxic Goiter):
1-Cancer or suspicious nodule
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
***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.