Thyroid Cancer, Thyroid Nodule
Conditions
Keywords
TI-RADS, Bethesda
Brief summary
Although anamnesis and physical examination remain the place in the evaluation of patients today; laboratory values, imaging methods and pathology results have come to the fore in the decision-making of surgery for patients. As a result of all other criteria, a follow-up decision can be changed in a patient with a single fine needle aspiration biopsy result, or despite all the examinations the investigators have, a clear result cannot be achieved, and patient management may be disrupted. A holistic approach to thyroid gland pathologies is planned thanks to the scoring system that will be created in this study.
Detailed description
In routine clinical practice, the criteria the investigators consider during the pre - op period in patients evaluated due to thyroid pathologies include anamnesis, physical examination, laboratory values, especially thyroid function, thyroid-neck ultrasonographies, fine needle aspiration biopsies, according to which decisions about operation or nonoperative follow-up are made with the patient. The investigators aim to create a common scoring system by taking into account the pathology results of patients who have undergone thyroidectomy and comparing these results with the results of pre-op examination and thus to address patient management in a more objective and comprehensive way.
Interventions
PROCEDUREThyroidectomy
total thyroidectomy
PROCEDURELobectomy
Lobectomy
Sponsors
Dr. Lutfi Kirdar Kartal Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients who undergone surgery for thyroid gland pathologies
Exclusion criteria
* patients who did not want to be involved in the study * patients who missed in the follow-up period * pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Age | Before Surgery | Years |
| Gender | Before Surgery | Male - Female |
| Smoking Status | Before Surgery | Yes or No |
| Radiation to the Neck Area | Before Surgery | Yes or No |
| History of Thyroiditis | Before Surgery | Yes or No |
| Family History | Before Surgery | Presence of family members with any thyroid pathologies especially thyroid cancer |
| Complaint | Before Surgery | Months |
| Thyroid Imaging Reporting and Data System ( TIRADS ) score | Before surgery | Radiological features of throid nodule ( minimum value is 1 maximum value is 5 ); thyroid nodule which has a higher value means a worse outcome |
| Bethesda classification system for thyroid fine needle aspirates | Before surgery | Histopathological features of thyroid nodule ( minimum value is 1 maximum value is 6 ) thyroid nodule which has higher value means a worse outcome |
| Thyroid Stimulating Hormone ( TSH ) levels | Before surgery | it is a hormone secreted from the pituitary gland and triggers the functioning of the thyroid gland ( cut of values are 0.5 - 5.0 mIU / L ) |
| Pathology results | Immediately after the surgery | The result of the throid gland part sent to the pathology unit after surgery ( the results can be benign or malign ) |
Countries
Turkey (Türkiye)
Outcome results
None listed