Utilizing the McGill Thyroid Nodule Score to compare between hemithyroidectomy cases who required completion thyroidectomy and cases of hemithyroidectomy alone

This study aims to evaluate whether the McGill Thyroid Nodule Score (MTNS) accurately helps to decide the extent of surgery (hemithyroidectomy versus total thyroidectomy) based on the malignancy risk and to assess whether its use lowers the rate of completion thyroidectomy in cases of indeterminate...

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Bibliographic Details
Published in:American journal of otolaryngology 2019-11, Vol.40 (6), p.102277-102277, Article 102277
Main Authors: Awad, Baraa, Al-Hakami, Hadi, Al-Garni, Mohammed, Mufti, Nouri
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biopsy
Biopsy, Fine-Needle
Child
Decision making
Female
Females
Fine-needle aspiration biopsy
Histopathology
Humans
Indeterminate nodule
Male
Males
Malignancy
McGill Thyroid Nodule Score
Middle Aged
Nodules
Pathology
Patient Selection
Patients
Predictive Value of Tests
Retrospective Studies
Risk factors
Subgroups
Surgery
Surgical outcomes
Thyroid
Thyroid cancer
Thyroid Nodule - pathology
Thyroid Nodule - surgery
Thyroidectomy
Ultrasonic imaging
Young Adult
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Summary:This study aims to evaluate whether the McGill Thyroid Nodule Score (MTNS) accurately helps to decide the extent of surgery (hemithyroidectomy versus total thyroidectomy) based on the malignancy risk and to assess whether its use lowers the rate of completion thyroidectomy in cases of indeterminate thyroid nodules. We performed a retrospective cohort study comparing MTNS results of patients undergoing hemithyroidectomy in King Abdulaziz Medical City, NGHA, Jeddah from the period of January 2013 to December 2017. We divided the cases into hemithyroidectomy who required completion and hemithyroidectomy who did not need completion surgery. The pre-operative indeterminate FNA biopsy subgroup comprised of Bethesda type III (atypia of undetermined significance/follicular lesion of undetermined significance) and Bethesda type IV (follicular neoplasm/suspicious for a follicular neoplasm/Hurthle cell neoplasm). Post-operative histopathology was divided into benign or malignant groups. Of the 501 patient charts reviewed, 111 (22.2%) had an indeterminate FNA biopsy. 97 (87.4%) patients were females and 14 (12.6%) were males. In the hemithyroidectomy group, the pre-operative mean of the MTNS was 6.65, while in the completion thyroidectomy the mean was 11.47. The median MTNS was 7 (32% risk of malignancy) for the hemithyroidectomy group and 11 (63% risk of malignancy) for the completion thyroidectomy group (p 
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2019.102277