Users' questions

What is the diagnosis of thyroidectomy?

What is the diagnosis of thyroidectomy?

Thyroidectomy is used to treat thyroid disorders, such as cancer, noncancerous enlargement of the thyroid (goiter) and overactive thyroid (hyperthyroidism).

What is a total thyroidectomy?

Total thyroidectomy involves the removal of the entire thyroid gland. This procedure is most often performed to treat thyroid cancer, but it may also be performed to treat uncontrollable hyperthyroidism or goiter that causes severe symptoms.

What kind of surgery is used for papillary thyroid cancer?

Surgery (total thyroidectomy) and subsequent radioactive therapy are standard procedures for the treatment and management of patients with papillary thyroid cancer. The surgical treatment is based on thyroidectomy and the excision of locoregional lymph node metastases.

Is there a connection between papillary thyroid cancer and Siad?

In this report, we describe a patient with papillary thyroid cancer associated with neurological symptoms resulting from marked hyponatremia due to SIAD. The complete disappearance of her symptoms after total thyroidectomy confirmed the diagnosis of paraneoplastic SIAD related to papillary thyroid cancer.

Can a total thyroidectomy be used to diagnose Siad?

All these patients presented with hyponatremia and hypothyroidism. Four of the five patients underwent total thyroidectomy and all developed hyponatremia between surgery and the initiation of I-131 radioactive therapy. Based on this, endocrine dysfunction has to be ruled out before making a diagnosis of SIAD [ 3 ].

What is the prognosis for papillary thyroid cancer?

Papillary thyroid cancer is the most common subtype of thyroid cancer. The prognosis of patients with papillary thyroid cancer is very good (10-year overall survival in more than 80% of cases) [ 5 ]. So far, only a few cases of thyroid cancer have been described in relation to hyponatremia [ 6 ].

Do you need a total thyroidectomy for papillary thyroid cancer?

There are a few very specific situations in which some doctors will remove only the half of the thyroid with the cancer (i.e. thyroid lobectomy), but most doctors recommend a total thyroidectomy because: Most papillary thyroid cancers are multifocal (i.e. in more than one part of the thyroid)

How long is radioiodine used for papillary thyroid cancer?

Patients with low-risk differentiated papillary thyroid cancer have shown excellent responses to total thyroidectomy without radioiodine remnant ablation. [ 53] After thyroidectomy, patients are given thyroid replacement therapy for approximately 4-6 weeks.

What kind of biopsy is needed for papillary thyroid cancer?

In particular, if the doctor has reason to think the nodule is suspicious for a diagnosis of papillary thyroid cancer based upon the nodule size, symptoms, or ultrasound appearance, the preferred biopsy is a thyroid lobectomy (removal of the half of the thyroid gland that possesses the nodule).

How is external beam radiotherapy used for papillary thyroid cancer?

External beam radiotherapy has been used as adjuvant therapy in patients with papillary thyroid cancer who were older than 45 years and had locally invasive disease. Some improvements in 10-year survival rates have been reported with this approach. Patients require lifelong thyroid hormone replacement therapy,…