Randolph et al., "Total or near-total thyroidectomy
versus subtotal thyroidectomy for multinodular non-toxic goitre in adults," Cochrane Database of Systematic Reviews, no.
A total thyroidectomy is referred as removal of entire thyroid tissue, while a near-total thyroidectomy
leaves less than 1 gm (1 cm) of thyroid tissue on one side of the neck.
Sub-total, near-total thyroidectomy
, Hypothyroidism, Iodine deficiency.
Present study showed that the incidence of nerve injury was proportional to the extent of thyroid resection in both groups, but near-total thyroidectomy
carried a disproportionate incidence of nerve injury.
For patients who have undergone a total or near-total thyroidectomy
for differentiated thyroid cancer, the use of central neck dissection is less definite under the new guidelines.
Additionally, our preference of total or near-total thyroidectomy
in patients undergoing surgery due to benign causes may be another influencing factor.
All patients who have undergone a total or near-total thyroidectomy
for a papillary or follicular carcinoma larger than 1 to 1.5 cm should be considered candidates for RAI ablation(1).
One had undergone a near-total thyroidectomy
for a benign nodule that had enlarged in spite of thyroid suppressive therapy.
B) Higher administered activities may need to be considered for patients receiving less than a total or near-total thyroidectomy
in which a larger remnant is suspected or in which adjuvant therapy is intended (Weak recommendation, low-quality evidence).
The procedures undertaken to obtain these specimens were lobectomy, hemithyroidectomy, subtotal and near-total thyroidectomy
. All the specimens were fixed in 10% Formalin and were processed to make paraffin embedded tissue blocks and then sectioned.
Operative therapies were defined as follows: (1) partial thyroidectomy included lobectomy and isthmusectomy; (2) total thyroidectomy was restricted to cases in which the entire thyroid was removed or a near-total thyroidectomy
was performed; (3) the operative approach not otherwise specified (NOS); and (4) no operative therapy was treated as such where indicated.