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.
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.
Study Type
OBSERVATIONAL
Enrollment
300
total thyroidectomy
Lobectomy
Kartal Dr Lutfi Kirdar Tranining and Research Hospital
Istanbul, Turkey (Türkiye)
Age
Years
Time frame: Before Surgery
Gender
Male - Female
Time frame: Before Surgery
Smoking Status
Yes or No
Time frame: Before Surgery
Radiation to the Neck Area
Yes or No
Time frame: Before Surgery
History of Thyroiditis
Yes or No
Time frame: Before Surgery
Family History
Presence of family members with any thyroid pathologies especially thyroid cancer
Time frame: Before Surgery
Complaint
Months
Time frame: Before Surgery
Thyroid Imaging Reporting and Data System ( TIRADS ) score
Radiological features of throid nodule ( minimum value is 1 maximum value is 5 ); thyroid nodule which has a higher value means a worse outcome
Time frame: Before surgery
Bethesda classification system for thyroid fine needle aspirates
Histopathological features of thyroid nodule ( minimum value is 1 maximum value is 6 ) thyroid nodule which has higher value means a worse outcome
Time frame: Before surgery
Thyroid Stimulating Hormone ( TSH ) levels
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 )
Time frame: Before surgery
Pathology results
The result of the throid gland part sent to the pathology unit after surgery ( the results can be benign or malign )
Time frame: Immediately after the surgery
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