When might this service be appropriate?
- Selected suspicious nodules or thyroid cancer
- Compressive goitre or selected hormone overactivity
How is it assessed?
- Review ultrasound/cytology, thyroid function, lymph nodes, voice and anaesthetic fitness.
How is care planned?
- Compare lobectomy/total removal with monitoring, medical or other suitable options. Neck dissection needs a separate indication.
What follow-up and recovery care is needed?
- Total removal requires lifelong thyroid hormone; some patients also need it after partial removal. Plan pathology, hormone/calcium and voice follow-up.
Which risks and limitations should be discussed?
- Neck bleeding/haematoma, voice change, low calcium, scarring or infection; individual risk counselling is needed.
When is prompt or emergency care needed?
- Rapid neck swelling or breathing difficulty needs emergency care. Report lip/finger tingling or muscle spasm to the operating team immediately.
For a life-threatening emergency, seek emergency care or call 999 in Bangladesh.
Frequently asked questions
Will medication be needed afterwards?
Thyroid hormone is required after total removal; other medicines or calcium are prescribed as needed.