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Surgery for the Solitary Thyroid Nodule

  • Prabhat K. Bhama
  • Gerard M. Doherty
Chapter

8.5 Summary

Thyroid nodules are quite common, and the basis of their evaluation is the FNA cytology. However, some tumors cannot be completely characterized by FNA, and so require at minimum a diagnostic ipsilateral thyroid lobectomy for definitive histology. In such cases, complete lobectomy is the minimum procedure, to avoid the potential need for further operation on that side of the trachea.

Differentiated thyroid carcinoma is best treated by total thyroidectomy, which is safe in experienced hands. The best prognosis cancers can be managed by lobectomy alone with careful surveillance of the remaining lobe. Lateral neck dissection is reserved for clinically evident cancer involvement of that compartment, though central neck (level 6) node dissection should be a part of every initial thyroid cancer operation.

Keywords

Thyroid Cancer Thyroid Carcinoma Papillary Thyroid Carcinoma Thyroid Nodule Papillary Thyroid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Prabhat K. Bhama
    • 1
  • Gerard M. Doherty
    • 1
    • 2
  1. 1.Division of Endocrine SurgeryUniversity of Michigan Medical SchoolAnn Arbor
  2. 2.2920B Taubman Health Care CenterAnn ArborUSA

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