Surgery for thyroid adenoma may be considered when
the presence of significantly associated local pressure symptoms.
in combination with hyperthyroidism, where medical treatment has failed.
the mass is located behind the sternum or in the mediastinum
Progressive growth of the nodule with clinical consideration of a predisposition to malignancy or a combination of high risk factors for thyroid cancer.
A strong request for surgery due to cosmetic or ideological concerns that interfere with normal life may be a relative indication for surgery.
The principle of thyroid adenoma surgery is to completely remove the adenoma while preserving as much normal thyroid tissue as possible. The use of total/near-total thyroidectomy is recommended with caution. In the event of malignancy, the surgical approach should be treated as thyroid cancer.