Surgical options for thyroid tumours

  • Standard of care for suspected cancer
    • Thyroid lobectomy
    • Total thyroidectomy
  • Lesser surgery a consideration when
    • Diagnostic tests such as FNAC and U/S are not available
    • Patients cannot access thyroid or calcium monitoring and replacement
    • Surgical options
      • Open biopsy and await histology before planning definitive surgery
      • Nodulectomy (no referral possible, isthmic and anterior placed nodules rather than posterior which makes repeat surgery difficult and dangerous)
      • Subtotal thyroidectomy
  • Neck dissections
    • Central neck dissection
    • Lateral neck dissection

Index: Clinical Practice Guidelines for Thyroid