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Injury of the Thyroid Gland

Neck Injury Thyroid Gland


Presentation

  • Patients with unilateral vocal fold paralysis present with postoperative hoarseness. Presentation is often subacute and voice changes may not present for days or weeks. Unilateral paralysis may resolve spontaneously.[patient.info]
  • Patients with suppurative thyroiditis commonly present with acute unilateral anterior neck pain and erythema of the skin overlying an exquisitely tender thyroid. Fever, dysphagia, and dysphonia also are present.[aafp.org]
  • Presentation Post motor vehicle accident with dysphagia, globus and left neck swelling. Patient Data Age: 55 years Gender: Female Loading images...[radiopaedia.org]
  • The presentation of diminished thyroid function during severe or chronic illness of unrelated etiology is often difficult to determine and its treatment is controversial.[hormonesmatter.com]
  • Cytologic atypia, which is likely to become less prominent as the cells undergo successive divisions but occasionally may lead to cancer, may be present along with atrophy, infarction, ulceration, hemorrhage, inflammation, edema, and scarring due in part[csn.cancer.org]
Goiter
  • A total thyroidectomy may be done for cancer, but also benign thyroid conditions that affect both lobes, such as Graves' disease, multinodular goiter, and substernal goiter, among others.[umm.edu]
  • Acute increase in goiter size during a normal pregnancy: an exceptional case report. Thyroid 2003;13:881–884. CrossRef PubMed Google Scholar 8. Grace RH, Shilling JS.[link.springer.com]
  • Few cases have been published, mostly in patients with pre-existing goiter or thyroid adenoma, and this may explain the isolated thyroid gland hemorrhage.1-4, 7 In our two patients there was no history of goiter, thyroid gland adenoma, or hyperthyroidism[redorbit.com]
  • , secondary toxic goiter, diffuse toxic goiter relapsing after full medical treatment, selected cases of thyroiditis (Hashimoto's thyroiditis) and thyroid cancer.[mmj.eg.net]
  • Thyroid operations (thyroidectomy) are used for patients who have a variety of thyroid conditions, including both malignant and benign thyroid nodules, large compressive goiters and overactive thyroid glands (both Graves’ disease and toxic nodular goiters[clinicaladvisor.com]
Thyroid Nodule
  • Leonard Wartofsky and Douglas Van Nostrand, this gold standard reference is divided into 11 Parts: General Considerations on Thyroid Cancer; General Considerations on Nuclear Medicine; the Thyroid Nodule; Well-Differentiated Thyroid Cancer; Variants of[books.google.com]
  • The pathologist will look at one or two sections of the thyroid nodule specimen in question while the patient is still in the operating room to see if is cancer present.[umm.edu]
  • Patient selection: blunt trauma to the thyroid gland and adjacent structures Type of Injury Grade small lacerations to the parenchyma of the thyroid gland I bleeding into thyroid nodules I subcapsular hematoma in the thyroid gland I rupture of the thyroid[meducator3.net]
  • […] exophthalmos (bulging eyes) Thyroid nodule, if fine needle aspirate (FNA) results are unclear [1] Types [ edit ] A lobectomy of the thyroid gland Hemithyroidectomy—Entire isthmus is removed along with 1 lobe.[en.wikipedia.org]
  • In some cases, such as patients with thyroid nodules, thyroid cancer, or Graves’ disease, the entire thyroid may even require removal.[endocrineweb.com]
Thyroid Nodule
  • Leonard Wartofsky and Douglas Van Nostrand, this gold standard reference is divided into 11 Parts: General Considerations on Thyroid Cancer; General Considerations on Nuclear Medicine; the Thyroid Nodule; Well-Differentiated Thyroid Cancer; Variants of[books.google.com]
  • The pathologist will look at one or two sections of the thyroid nodule specimen in question while the patient is still in the operating room to see if is cancer present.[umm.edu]
  • Patient selection: blunt trauma to the thyroid gland and adjacent structures Type of Injury Grade small lacerations to the parenchyma of the thyroid gland I bleeding into thyroid nodules I subcapsular hematoma in the thyroid gland I rupture of the thyroid[meducator3.net]
  • […] exophthalmos (bulging eyes) Thyroid nodule, if fine needle aspirate (FNA) results are unclear [1] Types [ edit ] A lobectomy of the thyroid gland Hemithyroidectomy—Entire isthmus is removed along with 1 lobe.[en.wikipedia.org]
  • In some cases, such as patients with thyroid nodules, thyroid cancer, or Graves’ disease, the entire thyroid may even require removal.[endocrineweb.com]
Pathologist
  • An indispensable reference source with chapters written by the field’s leading authoritative experts, Thyroid Cancer: A Comprehensive Guide to Clinical Management, Third Edition, will be of great interest to not only pathologists, endocrine surgeons,[books.google.com]
  • The pathologist will look at one or two sections of the thyroid nodule specimen in question while the patient is still in the operating room to see if is cancer present.[umm.edu]
Increased Energy
  • energy or hyperactivity Palpitations Increased body temperature without illness Anxiety Inner tremors Return to top When we think of autoimmune diseases, we often think first of HIV, AIDS, or rheumatoid arthritis.[ebtherapy.com]
Dental Caries
  • Radiation to the mouth and jaw can cause permanent dry mouth, resulting in an increased number of dental caries and damage to the jawbone. Radiation to the lungs can cause lung inflammation (radiation pneumonitis).[merckmanuals.com]
Neck Mass
  • It often presents as a rapidly expanding neck mass with swallowing and breathing difficulties. Direct invasion of the voice box, trachea and esophagus is common. These cancers are often too large and invasive to be removed surgically.[kumc.edu]

Treatment

  • A classification and an algorithm for diagnosis and treatment of thyroid gland injuries is proposed. A literature review reveals 16 case reports.[journals.lww.com]
  • There is a valuable reference atlas of scan images and illustrations, and a scholarly summary of the side effects of radioiodine and how to avoid or minimize adverse effects of treatment.[books.google.com]
  • After starting treatment, it may take several weeks or months for hormone levels to adjust to the normal range. On average, total treatment time is between 1 and 2 years, but it can take longer.[medicalnewstoday.com]
  • Thyroid Storm Medical Treatment Treatment of thyroid storm consists of life support measures to support vital organ function along with attempts to reduce thyroid hormone release.[emedicinehealth.com]
  • Conservative treatment may be successful in selected patients with lower grade injuries and without concomitant thyroid disease.[ncbi.nlm.nih.gov]

Prognosis

  • Well-differentiated Thyroid Carcinoma This form of thyroid cancer has an excellent prognosis, especially for people under 45 years of age.[kumc.edu]

Etiology

  • Thoroughly revised and extensively expanded, this encyclopedic, highly acclaimed title addresses all aspects of the etiology, pathogenesis, diagnosis, initial treatment and long-term management of all varieties of thyroid cancer.[books.google.com]
  • The presentation of diminished thyroid function during severe or chronic illness of unrelated etiology is often difficult to determine and its treatment is controversial.[hormonesmatter.com]
  • Thyroiditis is an inflammation of the thyroid gland that has several etiologies and can be associated with normal, elevated, or depressed thyroid function, often with evolution from one condition to another.[aafp.org]
  • The etiology of Anaplastic Carcinoma is unknown and is considered by most to be incurable. It often presents as a rapidly expanding neck mass with swallowing and breathing difficulties.[kumc.edu]

Epidemiology

  • Clinical review 169: interferon-alpha-related thyroid disease: pathophysiological, epidemiological, and clinical aspects. J Clin Endocrinol Metab. 2004;89:3656–61. 23. Schuppert F, Rambusch E, Kirchner H, Atzpodien J, Kohn LD, von zur Muhlen A.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • When the thyroid is compromised, a range of other pathophysiological processes emerge, including demyelination.[hormonesmatter.com]
  • Clinical review 169: interferon-alpha-related thyroid disease: pathophysiological, epidemiological, and clinical aspects. J Clin Endocrinol Metab. 2004;89:3656–61. 23. Schuppert F, Rambusch E, Kirchner H, Atzpodien J, Kohn LD, von zur Muhlen A.[aafp.org]

Prevention

  • It is very important that the surgeon preserves the parathyroid glands when removing the thyroid gland to prevent this serious complication.[surgicaloncology.net.au]
  • Louis combine their diverse skills and knowledge to relieve patients of all ages of chronic health conditions, as well as advising them about ways to prevent future illnesses and injuries.[thevanguardclinic.com]
  • Infection — occurs in about 1/2000 thyroid operations, and the routine use of antibiotics to prevent infection is not necessary. In general, the neck is a clean area that usually does not get infected.[endocrinediseases.org]
  • Thyroid Storm Prevention Thyroid storm can be prevented with early treatment of hyperthyroidism and recognition of the warning symptoms of thyroid storm. Thyroid Storm Prognosis Thyroid storm is a very serious condition that can result in death.[emedicinehealth.com]
  • Can thyroiditis be prevented or avoided? Most cases of thyroiditis cannot be prevented. If you have a health issue that requires treatment using radioactive iodine or radiation therapy, talk to your doctor about your risk of thyroiditis.[familydoctor.org]

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