Hashimoto's Thyroiditis

Treatment is fundamentally levothyroxine replacement. Growing, compressive, or suspicious nodules that develop on the background of Hashimoto's, however, require surgical evaluation.

• Those with hypothyroidism symptoms such as fatigue, weight gain, cold intolerance, and hair loss
• Individuals found to have high TSH and positive anti-TPO or anti-Tg
• Patients with a growing or compressive nodule on the background of Hashimoto's
• Individuals with a family history who request preventive surveillance

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

Treatment is focused on lifestyle and replacement; when surgery is required, discharge on the first day is generally possible.