Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology
Abdelnassef, M., Shalamesh, M., Al-Mahdy, A., Mohamed, E. (2019). Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology. EKB Journal Management System, 76(5), 4119-4123. doi: 10.21608/ejhm.2019.42947
Mohamed Mahdy Abdelnassef; Mohamed Ebrahim Shalamesh; Atef Mohamed Al-Mahdy; Ebrahim Hassan Mohamed. "Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology". EKB Journal Management System, 76, 5, 2019, 4119-4123. doi: 10.21608/ejhm.2019.42947
Abdelnassef, M., Shalamesh, M., Al-Mahdy, A., Mohamed, E. (2019). 'Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology', EKB Journal Management System, 76(5), pp. 4119-4123. doi: 10.21608/ejhm.2019.42947
Abdelnassef, M., Shalamesh, M., Al-Mahdy, A., Mohamed, E. Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology. EKB Journal Management System, 2019; 76(5): 4119-4123. doi: 10.21608/ejhm.2019.42947

Comparative Study between Total Thyroidectomy and Hemithyroidectomy in Treatment of Solitary Thyroid Nodules Diagnosed as Follicular Lesions by Fine-Needle Aspiration Cytology

The Egyptian Journal of Hospital Medicine
Article 12, Volume 76, Issue 5, July 2019, Page 4119-4123  XML PDF (308.27 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.42947
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Authors
Mohamed Mahdy Abdelnassef email 1; Mohamed Ebrahim Shalamesh1; Atef Mohamed Al-Mahdy1; Ebrahim Hassan Mohamed2
1Departments of General Surgery, Faculty of Medicine - Al-Azhar University
2Departments of General Pathology, Faculty of Medicine - Al-Azhar University
Abstract
Background: Thyroid nodular (TN) lesions are a common clinical problem in the world. These are more common in women and in areas of iodine deficiency. Exposure to ionizing radiation in childhood and adolescence increases the risk of solitary thyroid nodule and thyroid carcinoma. Objective: Determination of the optimal surgical approach for individuals undergoing thyroidectomy for solitary thyroid nodule identified as indeterminate follicular lesion on preoperative fine needle aspiration cytology (FNAC) diagnosis and to estimate the long term outcome of patients treated by lobectomy for solitary follicular thyroid nodule. Patients and methods: From June 2017 to June 2019, 50 patients having a solitary thyroid nodule with a cytological diagnosis of “indeterminate follicular lesion” were selected prospectively. Results: There were 26 women and 24 men with a mean age of 56 years (range: 28-83). Hemithyroidectomy (HT) was performed in 25 patients (50%) and a total thyroidectomy (TT) in 25 (50%). Postoperative morbidity was 3.50% in patients who underwent HT and 9.75% in those who underwent TT. At the histological analysis 3 (12%) patients of hemithyroidectomy group had a malignant lesion. Conclusions: Considering the high rate in which HT represents the adequate treatment, and the low rate of reoperation morbidity, HT seems to be the preferable initial surgical approach for indeterminate follicular lesions. Long-term ultrasonographic follow-up seems advisable.
Keywords
Fine-needle biopsy; Follicular lesion; Hemithyroidectomy; Total Thyroidectomy
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