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Detection and Management of Hypothyroidism Following Thyroid Lobectomy: Evaluation of a Clinical Algorithm
Authors:Johner  Amanda  Griffith  Obi L  Walker  Blair  Wood  Leanne  Piper  Hannah  Wilkins  Graeme  Baliski  Christopher  Jones  Steven J M  Wiseman  Sam M
Institution:(1) Department of Surgery, St. Paul’s Hospital & The University of British Columbia, Vancouver, BC, Canada;(2) Department of Medical Genetics, University of British Columbia, British Columbia Cancer Agency, Vancouver, BC, Canada;(3) Michael Smith Genome Sciences Center, Vancouver, BC, Canada;(4) Department of Endocrinology, St. Paul’s Hospital & The University of British, Columbia, Vancouver, BC, Canada;(5) Department of Pathology & Laboratory Medicine, St. Paul’s Hospital & The University of British Columbia, Vancouver, BC, Canada;(6) Department of Surgery, Kelowna General Hospital, Kelowna, BC, Canada;
Abstract:

Background  

The objectives of this study were to determine: (1) the incidence permanent hypothyroidism after thyroid lobectomy (TL), (2) whether asymptomatic patients with mildly elevated thyrotropin (TSH) levels can be managed without thyroid hormone replacement, and (3) if the degree of lymphocytic infiltration (LI) and germinal center (GC) formation in the resected thyroid lobe correlates with the development of post-TL hypothyroidism.
Keywords:
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