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Non-recurrent sometimes
Left Recurrent Laryngeal
Nerve
Always recurrent
Close related to tracheo-esophageal groove
Vertical direction
Behind the post. aspect of the left lobe
NORMAL THYROID FUNCTION
The follicular cells- T3, T4
Hypothyroidism
Symptoms: dry skin, cold intolerance, obesity,
constipation, deafness
Paramedian low
Well-encapsulated mass
retrosternal mass
Discussions
In this case the thyroid lesion was more evident, and thus first
treated while MG was erroneously considered secondary to
hyperthyroidism and consequently likely to remit following total
thyroidectomy.
Euthyroid- FNAC
Benign-no pressure sy.-observe, repeat FNAC in 6 months
Benign- with pressure sy.- surgery
Thyoiditis- T4 treatment
Suspicious- surgery
Malinant- surgery
Inadequate FNAC- repeat
Cystic benign- observe,review in 6 weeks
Cystic malignant- surgery
MULTINODULAR GOITRE
MANAGEMENT
Hyperthyroid- iodine scan
Large- ATD & surgery
Small- iodine therapy
Euthyroid
No dominant nodule-observe
Dominant nodule-FNAC
Benign, no sy-observe
Malignant- surgery
Suspicious- surgery
Inadequate- repeat FNAC
Retrosternal- surgery
Cosmetic- surgery