Video 50.1 Introduction to Chapter 50, Reoperative Thyroid Surgery Introduction Approximately one-third of patients with differentiated thyroid cancer (DTC) have tumor recurrence, and most are diagnosed within 10 years of initial treatment. Locoregional recurrences may arise in the thyroid bed,…
Introduction Surgery is, with the exception of lymphomas described in this chapter, the mainstay of therapy for all types of thyroid cancer. However, if there is an increased risk of recurrence, further additional treatment may be warranted. In differentiated thyroid…
Video 48.1 Introduction to Chapter 48, Postoperative Radioactive Iodine Ablation and Treatment of Differentiated Thyroid Cancer. Introduction The role of radioactive iodine (RAI) therapy in the postoperative management of patients with newly diagnosed differentiated thyroid cancer (DTC) is a highly…
Goals of Postoperative Management Differentiated thyroid cancer (DTC) is being diagnosed with increasing incidence, but the mortality rate has remained low. The vast majority of these tumors are low-risk cancers, limited to the thyroid gland, which have a 20-year disease-specific…
Video 46.1 Introduction to Chapter 46, Ethics and Malpractice in Thyroid and Parathyroid Surgery. Ethical Issues Optimizing Informed Consent One of the central ethical challenges for surgeons is to ensure that patients have given adequate informed consent before having an…
Video 45.1 Introduction to Chapter 45, Quality Assessment in Thyroid and Parathyroid Surgery. Increasing focus has been placed on the quality of care physicians and hospitals provide to ensure excellent health outcomes for their patients. Thyroid and parathyroid operations are…
Introduction Thyroid and parathyroid operations rank among the most common procedures performed by endocrine surgeons and are generally considered low-risk procedures. Yet, complications occur even when surgery is performed by experienced surgeons. Endocrine neck surgery mandates adherence to certain core…
Video 43.1 Vocal Fold Augmentation Using Transcricothyroid Membrane Submucosal Approach. Introduction Alteration in the function of the recurrent laryngeal nerve (RLN) is an unfortunate and sometimes unavoidable consequence of thyroid surgery. It may result from errors in surgical technique or…
Introduction Laryngeal nerve injury is a serious complication of thyroid surgery. Unilateral injury impairs the voice and, occasionally, swallowing. Bilateral injury can result in life-threatening airway obstruction. Symptoms vary greatly over time and between patients, depending on the site and…
Introduction Most surgical thyroid disease involves lesions that produce thyroid enlargement—sometimes diffuse but usually nodular. This chapter will discuss lesions of the thyroid that produce nodules. We will describe and discuss the pathologic features of these lesions as well as…