Here I discuss about the current management guidelines from British Thyroid Association and American Thyroid Association comparing those with the current practice in Sri Lanka
2. Dr. MTD Lakshan
MBBS MS(Oto) DOHNS(Eng) FEB ORL-HNS (Europe)
FRCSEd ORL-HNS (UK)
Consultant ENT and Head and Neck Surgeon
Thyroidectomy
Head and Neck Surgeon’s point of View
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20. 4
1. Hypoechogenicity
2. Irregular/microlobulated margins
3. Microcalicifications
4. Taller - than - wide
Kim, E.K et al. (2002) New sonographic criteria for recommending fine-needle aspiration biopsy of non-palpable
solid nodules of the thyroid. American Journal of Roentgenology, 178, 687–691.
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21. 5
U1 - Normal
U2 - Benign
U3 - Indeterminate/Equivocal
U4 - Suspicious
U5 - Malignant
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24. 5
Thy1 - Non-Diagnostic - Thy1C - Cystic
Thy2 - Non-Neoplastic - Thy2C - Cystic
Thy3 - Neoplasm possible Thy3A, Thy3F
Thy4 - Suspicious
Thy5 - Malignant
Royal College of Pathologists 2009
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25. "Thyroid papillary carcinoma histopathology (3)" by No machine-readable author provided. KGH assumed (based on copyright claims). - No machine-readable source
provided. Own work assumed (based on copyright claims).. Licensed under CC BY-SA 3.0 via Wikimedia Commons - https://commons.wikimedia.org/wiki/
File:Thyroid_papillary_carcinoma_histopathology_(3).jpg#/media/File:Thyroid_papillary_carcinoma_histopathology_(3).jpg
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69. Guidelines BTA 2014 ATA 2015
Clinical Features
Imaging USS U1-U5 Classification
FNAC Thy Classification
Multi Disciplinary Team
Surgery including neck dissections
RRA
Audit and CPD
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70. “The extirpation of the thyroid gland for
goiter .. provide(s) perhaps more than
other operations the supreme triumph of
the surgeons art”
William Stewart Halsted
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71. “The extirpation of the thyroid gland for
goiter .. provide(s) perhaps more than
other operations the supreme triumph of
the surgeons art”
William Stewart Halsted
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