Thyroid Disorders and Treatment

Biography

Biography: Mohinder Kumar Garg

Abstract

Thyroid disorders are commonly presenting in outdoor of surgery department. As these are located anatomically at a place, where it can easily be noticed by the patient; patients present quite early. As with any swelling, needless anxiety is created in the mind of the patient and the clinician to exclude malignancy, which is not very commonly encountered pathology. In the present era of modern diagnostic modalities surgeon can reach correct diagnosis in many cases. However at times surgeon is in a dilemma whether to keep the nodule under observation or to treat specially in benign disorder. FNAC though useful cannot differentiate between follicular adenoma & follicular carcinoma; in addition, it is operator dependent also. Differentiated thyroid carcinoma on the other hand has an indolent course and has got excellent prognosis depending on some parameters. Other investigations which are not available at many places particularly in developing countries like India are required only for special circumstances and should be used judiciously to make it cost effective. An in-depth knowledge of pathology is required for ideal management of solitary thyroid nodule as many cases do not require any treatment except observation, for which surgeon should by all means exclude malignancy. Cosmetic indication of surgery requires second thought as thyroid surgery leaves scar in the neck. The current topic will highlight an insight into investigation & treatment of solitary thyroid nodule