Skip to main content

Thyroid Lobectomy and Total Thyroidectomy

  • 939 Accesses

Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

The incidence of thyroid cancer has almost quadrupled over the last quarter of a century. In 1975, we used to see 8000 new patients with thyroid cancer, whereas today we see approximately 66,000 new patients with thyroid cancer in the U.S. [1]. The majority of these cases are directly related to incidentalomas i.e., nonpalpable nodules, incidental findings of thyroid nodules on routine clinical examination, imaging studies such as ultrasound, carotid Doppler studies, and CT scans or MRIs performed for other cervical problems. Appropriate evaluation of the thyroid mass includes a dedicated ultrasound of the thyroid with recognition of the suspicious features, such as hypervascularity, irregular margins, and punctate calcification. After initial clinical evaluation and ultrasound examination, the patient is generally advised to have a fine needle aspiration biopsy. The results of the biopsy are used to determine whether the patient requires surgical intervention or close monitoring and follow-up. If the needle biopsy is suspicious for or proves to be cancer, the patient will require surgical intervention.

Keywords

  • Thyroid nodule
  • Thyroid cancer
  • Lobectomy

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-662-54067-1_6
  • Chapter length: 14 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   149.00
Price excludes VAT (USA)
  • ISBN: 978-3-662-54067-1
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   199.99
Price excludes VAT (USA)
Hardcover Book
USD   279.99
Price excludes VAT (USA)
Figure 6.1
Figure 6.2
Figure 6.3
Figure 6.4
Figure 6.5
Figure 6.6
Figure 6.7
Figure 6.8

References

  1. Siegel R, Ma J, Zou Z, Jemal A. Cancer statistics, 2014. CA Cancer J Clin. 2014;64:9–29.

    CrossRef  PubMed  Google Scholar 

  2. Alexander EK, Kennedy GC, Baloch ZW, Cibas ES, Chudova D, Diggans J, et al. Preoperative diagnosis of benign thyroid nodules with indeterminate cytology. N Engl J Med. 2012;367:705–15.

    CAS  CrossRef  PubMed  Google Scholar 

  3. Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg. 1998;228:320–30.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  4. Moraitis D, Shaha AR. Opening the “gift box”: a systematic approach to expose the thyroid and superior thyroid vessels in complicated thyroid surgery. J Surg Oncol. 2006;93:417–9.

    CrossRef  PubMed  Google Scholar 

  5. Gil Z, Patel SG. Surgery for thyroid cancer. Surg Oncol Clin North Am. 2008;17:93–120.

    CrossRef  Google Scholar 

  6. Iyer NG, Kumar A, Nixon IJ, Patel SG, Ganly I, Tuttle RM, et al. Incidence and significance of Delphian node metastasis in papillary thyroid cancer. Ann Surg. 2011;253:988–9.

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ashok R. Shaha .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2017 Springer-Verlag GmbH Germany

About this chapter

Cite this chapter

Shaha, A.R. (2017). Thyroid Lobectomy and Total Thyroidectomy. In: Howe, J. (eds) Endocrine and Neuroendocrine Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54067-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-54067-1_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54065-7

  • Online ISBN: 978-3-662-54067-1

  • eBook Packages: MedicineMedicine (R0)