Dr Adarsh M Patil mbbs ms Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
He has experience of treating numerous thyroid patients in Bangalore .
He believes in that Patient safety comes first and strives to provide exceptional service to patients.
Call Now ! –+91-9972446882 .
Thype of Thyroid Enlargements –
- The normal thyroid gland is impalpable.
- The term goitre (from the Latin guttur = the throat) is used to describe generalised enlargement of the thyroid gland.
- A discrete swelling (nodule) in one lobe with no palpable abnormality elsewhere is termed an isolated (or solitary) swelling.
- Discrete swellings with evidence of abnormality elsewhere in the gland are termed dominant.
Investigations
- Thyroid function should be assessed to exclude mild hyperthyroidism,and the presence of circulating thyroid antibodies tested
to differentiate from autoimmune thyroiditis. - Plain radiographs of the chest and thoracic inlet will rapidly demonstrate clinically significant tracheal deviation or compression.
- Ultrasound and CT give more detailed images but rarely influence clinical management.
- FNAC is only required for a dominant swelling in a generalised goitre.
Complications
- Tracheal obstruction may occur because of gross lateral displacement or compression in a lateral or anteroposterior plane by
retrosternal extension of the goitre. - Acute respiratory obstruction may follow haemorrhage into a nodule impacted in the thoracic inlet.
Secondary thyrotoxicosis Transient episodes of mild hyperthyroidism are common, occurring in up to 30% of patients. - Carcinoma An increased incidence of cancer (usually follicular) has been reported from endemic areas. Dominant or rapidly growing nodules in longstanding goitres should always be subjected to aspiration cytology.
Prevention and treatment of simple goitre-
In endemic areas, for example Switzerland, parts of the USA and Argentina, the incidence of goitre has been strikingly reduced by the introduction of iodised salt. In the early stages a hyperplastic goitre may regress if thyroxine is given at a dose of 0.15–0.2 mg daily for a few months.
Although the nodular stage of simple goitre is irreversible, more than half of benign nodules will regress in size over 10 years
(Kuma). Most patients with multinodular goitre are asymptomatic and do not require operation.
Operation is indicated in following conditions- (Thyroid surgery in Bangalore)
- on cosmetic grounds, for pressure symptoms or in response to patient anxiety.
- Retrosternal extension with actual or incipient tracheal compression is also an indication for operation, as is the
presence of a dominant area of enlargement that may be neoplastic. - Thyro toxicosis.
There is a choice of surgical treatment in multinodular goitre (Thyroid surgery in Bangalore).
- This includes total thyroidectomy, with immediate and lifelong replacement of thyroxine,
- or some form of partial resection, to conserve sufficient functioning thyroid tissue to subserve normal
function while reducing the risk of hypoparathyroidism that.
Cost of Thyroid surgery in Bangalore
Cost of Thyroid surgery in Bangalore is approximatly 50,000?- INR
Dr Adarsh M Patil mbbs ms Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
He has experience of treating numerous thyroid patients in Bangalore .
He believes in that Patient safety comes first and strives to provide exceptional service to patients.
Call Now ! –+91-9972446882 .