TY - JOUR AU - Ghosh, Subrata AU - Kamal, Abu Hena Mostafa AU - Haque, Muhammad Mahamudul AU - Islam, Md Safiul AU - Islam, Md Asadul AU - Sarkar, Subrata Ranjan PY - 2020/01/06 Y2 - 2024/03/28 TI - Completion Thyroidectomy for Initially Misdiagnosed Differentiated Thyroid Carcinoma-Study of 51 cases JF - TAJ: Journal of Teachers Association JA - TAJ: J of Teachers Assoc VL - 32 IS - 2 SE - Original Articles DO - 10.3329/taj.v32i2.44876 UR - https://www.banglajol.info/index.php/TAJ/article/view/44876 SP - 22-26 AB - <p><strong>Introduction</strong>: Completion thyroidectomy is the removal of any residual thyroid tissue that remains after a less than total thyroidectomy. This procedure is usually done when the final histopathlogy of the excised ipsilateral thyroid lobe reveals papillary or follicular carcinoma.</p><p><strong>Objective</strong>: A retrospective analysis was done of patients undergoing completion thyroidectomy for thyroid malignancy who had undergone surgery elsewhere for solitary thyroid nodule. The incidence of complications in these patients after re-operation was investigated in this study.</p><p><strong>Material and Method</strong>: Our study included a total 51 patients who had undergone thyroid lobectomy for a solitary nodule as initial surgery in our hospital &amp; elsewhere and were admitted in our hospital for completion thyroidectomy when histopathology revealed malignancy in last 5 years (2014-2018).</p><p><strong>Result</strong>: In this study-51 patients were enrolled; among them 42 were female and 9 male. Their mean age was 33.6 years (range-17-59 years). After initial surgery, the histopathology revealed papillary carcinoma in 45 patients (88.24%), follicular carcinoma in 6 patients (11.76%). Four out of 51 patients had recurrent laryngeal nerve palsy after initial surgery (7.8%). None of the patients had clinical hypocalcaemia after 1<sup>st </sup>surgery. Parathyroid glands are identified and preserved in all patients during completion thyroidectomy. No patient had additional recurrent laryngeal nerve injury in 2<sup>nd </sup>surgery. Mean follow-up was one year. Transient hypoparathyroidism occurred in 9.8% patients, but no permanent hypoparathyroidism. Seven patients were lost to follow-up.</p><p><strong>Conclusion</strong>: Completion thyroidectomy is a safe and appropriate procedure for the management of initially misdiagnosed differentiated thyroid carcinoma.</p><p>TAJ 2019; 32(2): 22-26</p> ER -