10 doctors weighed in:
Is it normal surgeon to suggest total thyroidectomy when fna result is "suspicious for maliginancy"-category 5 and not "malignant"-bathesda fna guide?
10 doctors weighed in

Dr. Farhad Sigari
ENT - Head & Neck Surgery
5 doctors agree
In brief: Yes
When there is a nodule that is suspicious for malignancy (fna), i always counsel the patients preop for a total thyroidectomy.
However, we usually get a frozen tissue diagnosis to confirm after the lobe with the suspicious nodule is removed (during the procedure) before proceeding on the taking out the other side. As a surgeon you must counsel your patients preop for the all scenarios.

In brief: Yes
When there is a nodule that is suspicious for malignancy (fna), i always counsel the patients preop for a total thyroidectomy.
However, we usually get a frozen tissue diagnosis to confirm after the lobe with the suspicious nodule is removed (during the procedure) before proceeding on the taking out the other side. As a surgeon you must counsel your patients preop for the all scenarios.
Dr. Farhad Sigari
Dr. Farhad Sigari
Thank
Dr. Philip Rosenblum
Family Medicine
3 doctors agree
In brief: It is reasonable
Even pathology isn't perfect.
And thyroid hormone is easily replaced and easily tracked. Thyroid cancer, on the other hand, can be very hard to treat if it is not controlled early. Sometimes surgeons can be opposed as too aggressive but we have to give them room when dealing with cancer.

In brief: It is reasonable
Even pathology isn't perfect.
And thyroid hormone is easily replaced and easily tracked. Thyroid cancer, on the other hand, can be very hard to treat if it is not controlled early. Sometimes surgeons can be opposed as too aggressive but we have to give them room when dealing with cancer.
Dr. Philip Rosenblum
Dr. Philip Rosenblum
Thank
Dr. David Rosen
Internal Medicine - Oncology
In brief: Maybe
It depends on several factors, what is the size of the nodule? Is the other lobe free of nodules? Are the molecular markers positive? If the markers are negative, and the nodule is small, you may get away with lobectomy provided you don't have a family history of thyroid ca or radiation exposure.
Regardless the surgery can be minimally invasive. Photo 1 month after total thyroidectomy.

In brief: Maybe
It depends on several factors, what is the size of the nodule? Is the other lobe free of nodules? Are the molecular markers positive? If the markers are negative, and the nodule is small, you may get away with lobectomy provided you don't have a family history of thyroid ca or radiation exposure.
Regardless the surgery can be minimally invasive. Photo 1 month after total thyroidectomy.
Dr. David Rosen
Dr. David Rosen
Thank
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