This procedure is usually done … Partial thyroidectomy: surgery that removes only part of the thyroid gland (usually one lobe with or without the isthmus). Hyperthyroidism (overactive thyroid gland) Large goiters or thyroid nodules causing symptomatic obstruction such as swallowing or breathing difficulties. Doubt the bloodwork will be the deciding factor for rai at this point. Introduction: Completion thyroidectomy is the removal of any residual thyroid tissue that remains after a less than total thyroidectomy. Thyroidectomy is the surgical removal of all or part of your thyroid gland. completion total thyroidectomy. Completion thyroid surgery . I wrestle with the notation under cpt 60260, "For bilateral procedure, report 60260 with modifier 50". Abstract: The necessity of completion total thyroidectomy in patients with papillary thyroid microcarcinoma (PTMC) and pathological central lymph node metastasis (pCLNM) who underwent thyroid lobectomy with central compartment neck dissection (CCND) is unclear. You may have less invasive treatment options. The thyroid gland is located in the forward part of the neck (anterior) just under the skin and in front of the Adam's apple. Multi-nodular Goiter. Even the doctor leaves room for the possibility of cancer. And the 1cm follicular thyca with foci of intrathyroid invasion could tip the balance in favor of radiation. But it requires a longer hospitalization, so it has implications for both hospital resources and the patients involved. CONCLUSIONS: Completion thyroidectomy is a safe and appropriate option in the management of select cases of WDTC in which a definitive preoperative or intraoperative diagnosis is not available. Completion thyroidectomy is the removal of the remaining half of the thyroid after a patient has already undergone a hemithyroidectomy. Your thyroid is a butterfly-shaped gland located at the base of your neck. Completion thyroidectomy: surgery to remove the remaining thyroid lobe in thyroid cancer patients who initially had a lobectomy. The optimal timing of completion thyroidectomy … In most of these cases, completion thyroidectomy is recommended by national and international guidelines, although secondary surgery is associated with an increased operative risk. A thyroidectomy is a surgical procedure to remove all or part of the thyroid gland and used to treat diseases of the thyroid gland including: Thyroid cancer. This is sometimes required when the final pathology from the initial hemithyroidectomy showed an unexpected cancer, more aggressive pathologic features, or lymph node involvement. Pathology reports are a bit arcane. Meaning The extent of thyroidectomy was reduced considerably following the 2015 American Thyroid Association guidelines, and only 1 of 5 patients who undergo thyroid lobectomy will require a completion procedure according to the new criteria. Does this mean, completion thyroidectomy on one lobe; if there is resection of remaining tissue on both lobes, append modifier -50. Despite improved preoperative diagnostics, incidental postoperative detection of differentiated thyroid cancer in the final histology is still common. We determined the A thyroidectomy is a common but major surgery with serious risks and potential complications. A thyroidectomy is a treatment for a variety of diseases, disorders and conditions of the thyroid gland. A thyroidectomy is the surgical removal of a diseased thyroid gland. Pathology report will likely be the determinant here. Completion Thyroidectomy. Completion thyroidectomy is occasionally needed after lobectomy, but its procedure-specific risks are not well characterized. thyroidectomy: Definition Thyroidectomy is a surgical procedure in which all or part of the thyroid gland is removed. It produces hormones that control every aspect of your metabolism, from your heart rate to how quickly you burn calories.