Scoring System for Thyroid Gland Pathologies

Study Overview
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Brief Summary
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Although anamnesis and physical examination remain the place in the evaluation of patients today; laboratory values, imaging methods and pathology results have come to the fore in the decision-making of surgery for patients. As a result of all other criteria, a follow-up decision can be changed in a patient with a single fine needle aspiration biopsy result, or despite all the examinations the investigators have, a clear result cannot be achieved, and patient management may be disrupted. A holistic approach to thyroid gland pathologies is planned thanks to the scoring system that will be created in this study.

Detailed Description
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In routine clinical practice, the criteria the investigators consider during the pre - op period in patients evaluated due to thyroid pathologies include anamnesis, physical examination, laboratory values, especially thyroid function, thyroid-neck ultrasonographies, fine needle aspiration biopsies, according to which decisions about operation or nonoperative follow-up are made with the patient. The investigators aim to create a common scoring system by taking into account the pathology results of patients who have undergone thyroidectomy and comparing these results with the results of pre-op examination and thus to address patient management in a more objective and comprehensive way.

Official Title
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A New Scoring System in the Diagnosis of Thyroid Gland Pathologies

Conditions
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Thyroid Nodule, Thyroid Cancer

Intervention / Treatment
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* Procedure: Thyroidectomy
* Procedure: Lobectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients who undergone surgery for thyroid gland pathologies Exclusion Criteria: patients who did not want to be involved in the study patients who missed in the follow-up period pregnant patients

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Benign<br>Patients who have benign pathologies after thyroidectomy | Procedure: Lobectomy<br>* Lobectomy<br>|
| Malign<br>Patients who have malign pathologies after thyroidectomy | Procedure: Thyroidectomy<br>* total thyroidectomy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Age | Years | Before Surgery | 
| Gender | Male - Female | Before Surgery | 
| Smoking Status | Yes or No | Before Surgery | 
| Radiation to the Neck Area | Yes or No | Before Surgery | 
| History of Thyroiditis | Yes or No | Before Surgery | 
| Family History | Presence of family members with any thyroid pathologies especially thyroid cancer | Before Surgery | 
| Complaint | Months | Before Surgery | 
| Thyroid Imaging Reporting and Data System ( TIRADS ) score | Radiological features of throid nodule ( minimum value is 1 maximum value is 5 ); thyroid nodule which has a higher value means a worse outcome | Before surgery | 
| Bethesda classification system for thyroid fine needle aspirates | Histopathological features of thyroid nodule ( minimum value is 1 maximum value is 6 ) thyroid nodule which has higher value means a worse outcome | Before surgery | 
| Thyroid Stimulating Hormone ( TSH ) levels | it is a hormone secreted from the pituitary gland and triggers the functioning of the thyroid gland ( cut of values are 0.5 - 5.0 mIU / L ) | Before surgery | 
| Pathology results | The result of the throid gland part sent to the pathology unit after surgery ( the results can be benign or malign ) | Immediately after the surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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TI-RADS, Bethesda