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Updated: Jul 26, 2026

10:19
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
[Benign thyroid nodule: what is the treatment? Personal experience]
M Costanzo1, L A M Caruso, D C Messina
1Università degli Studi di Catania, P.O.U.S. Luigi e S. Currò - Catania, Cattedra e Servizio Clinicizzato di Endocrinochirurgia.
Annali Italiani Di Chirurgia
|July 23, 2005
Summary
Lobe-isthmusectomy is a safe and effective surgical option for benign solitary thyroid nodules, offering fewer complications and shorter hospital stays compared to total thyroidectomy.
Area of Science:
- Endocrinology
- Surgical Oncology
- Thyroid Pathology
Context:
- Solitary thyroid nodules affect 2-5% of the Italian population.
- Diagnosis relies on clinical examination, laboratory tests, and ultrasonography.
- Benign thyroid disease management requires careful consideration of surgical options.
Purpose:
- To compare the efficacy and safety of lobe-isthmusectomy versus total thyroidectomy for benign solitary thyroid nodules.
- To evaluate risks of relapse and complications associated with each surgical approach.
- To assess the overall usefulness of lobe-isthmusectomy in selected cases.
Summary:
- A retrospective study of 80 patients with benign solitary thyroid nodules treated with lobe-isthmusectomy between 1994 and 2000.
- Seven patients required conversion to total thyroidectomy during the procedure.
- Operative mortality was zero, with encouraging long-term results at a three-year follow-up.
Impact:
- Lobe-isthmusectomy demonstrates fewer postoperative complications and reduced hospital stays.
- This approach is considered a primary treatment choice for benign solitary thyroid nodules.
- The findings support lobe-isthmusectomy as a favorable surgical option, minimizing patient morbidity.
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