Anesthesia Management In Patients With Suspected Malignant Thyroid Tumors Dextra: A Case Report

Authors

  • Indah Salsabila universitas lampung
  • Khadafi Indrawan Bagian Anestesi, RSUD Dr. H. Abdul Moeloek

DOI:

https://doi.org/10.53089/medula.v15i3.1683

Keywords:

Kata Kunci: Manajemen Anestesi, Kanker Tiroid, Subtotal Tiroidektomi

Abstract

Thyroid nodules are excessive growth and structural changes with or without functional changes in one or more parts of the thyroid tissue. The prevalence of thyroid cancer is 4-6% of thyroid nodules ( both of single or multiple nodules). Thyroid cancer is the most common endocrine malignancy with an incidence of 3.1% worldwide. One of the treatments for thyroid cancer is thyroidectomy. Indications for thyroidectomy are thyroid malignancy, obstructive symptoms, retrosternal goiter and Graves' disease unresponsive to medical treatment, recurrent hyperthyroidism, Hashimoto's disease and for cosmetic reasons. Thyroid malignancy poses several difficulties in anesthesia. Airway management in patients who have cancer in the head and neck may experience abnormal changes in the airway anatomy. Therefore, it is necessary to prepare an anesthesia plan as well as appropriate pre-operative, intra- operative and post-operative management so that the operation runs smoothly and safely and reduces morbidity and mortality in patients.

References

Shahid MA, Ashraf MA, Sharma S. Physiology, thyroid hormone. Treasure Island (FL): StatPearls Publishing. Available at https://www.ncbi.nlm.nih.gov/books/NBK500006/Buku onkologi. 2018.

Kitahara CM, Sosa JA. Understanding the ever-changing incidence of thyroid cancer. Nat Rev Endocrinol. 2020;16(11):617-618.

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin. 2021;71(3):209-249.

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2018;68:394-424.

Fachrian D, Istanto W. Manejemen anestesi operasi total tiroidektomi menggunakan target controlled infusion (TCI) propofol dan blok pleksus servikal superfisial pada pasien karsionoma tiroid dengan metastasis paru. laporan kasus anestesiologi. Jurnal Anestesiologi Indonesia.2015;7(1):54-60.3.

Xing M. Genetic-guided risk assessment and management of thyroid cancer. Endocrinol Metab Clin North Am. 2019;48(1):109- 124

Butterworth JF, Mackey DC, Wasnick J. Anesthesia for patients with endocrine disease. in: morgan and mikhail’s clinical anesthesiology. United States: Mc Graw Hill Education. 2013

Jongekkasit I, Jitpratoom P, Sasanakietkul T, Anuwong A. Transoral endoscopic thyroidectomy for thyroid cancer. Endocrinol Metab Clin North Am. 2019;48(1):165-180.

Vargas-Pinto S, Arenas MAR. Lobectomy compared to total thyroidectomy for low-risk papillary thyroid cancer: a systematic review. J Surg Res. 2019;242:244-251

Brose MS, Bible KC, Chow LQ, Gilbert J, Grande C, Worden F, et al. Management of treatmentrelated toxicities in advanced medullary thyroid cancer. Cancer Treat Rev. 2018;66:64-73.

Farling P. Thyroid disease. in: hall george, hunter jennifer, cooper mark. core topics in endocrinology in anesthesia and critical care. New York: Cambridge University Press. 2010

Bacuzzi A, Dionigi G. Anesthesia for thyroid surgery: perioperative management. International Journal of Surgery.2008;6:S82-85

Soenarjo et al. Anestesiologi. Bagian Anestesiologi dan Terapi Intensif Fakultas Kedokteran UNDIP RSUP Dr. Kariadi: Semarang.2013

Ryalino C, Sinardja K, Wiryana M. Anestesi regional dalam pembedahan darurat non-tiroid pada pasien dengan tirotoksikosis. Medicina. Bagian Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Udayana Rumah Sakit Umum Pusat Sanglah Denpasar: Denpasar. 2018

Stoelting RK, Hiller SC. Opioid agonist & antagonist in pharmacology & physiology in anesthetic practice. 4thEdition. Philadelphia: Lippincott William & Wilkins.2006

Simpao AF, Rehman MA. Anesthesia information management systems. Anesth Analg. 2018;127(1):90-94

Mirrakhimov AE, Voore P. Propofol infusion syndrome in adults: a clinical update. Critical Care Research and Practice.2015;1-10.

Thong BY-H, Vultaggio A, Rerkpattanapipat T, Schrijvers R. Prevention of Drug Hypersensitivity Reactions: Prescreening and Premedication. J Allergy Cli Immunol Pract. 2021;9(8):2958-2966.

Thong BY-H, Vultaggio A, Rerkpattanapipat T, Schrijvers R. Prevention of Drug Hypersensitivity Reactions: Prescreening andPremedication. J Allergy Clin Immunol Pract. 2021;9(8):2958-2966.

Spratt GK. Assessing Patient Risk of Opioid-induced Respiratory Compromise.2019

Chalermkitpanit P, Rodanant O. Determinationof dose and efficacy of atracurium for rapid sequence induction of anesthesia: a randomised prospective study. Journal of Anaesthesiology Clinical Pharmacology.2010;36(1):37-42

Sahiner Y. 2018. Indications for endotracheal intubation. InTech.

Massimino M, Evans DB, Podda M, Spinelli C, Collini P, Pizzi N, et al. Thyroid cancer in adolescents and young adults. Pediatr Blood Cancer. 2018;65(8):e27025

Al-Ghamdi AA. Intraoperative fluid management: Past and future, where is the evidence? Saudi J Anaesth. 2018;12(2):311.

Halterman RS, Gaber M. Use of a checklist for the post anesthesiacare unit patient handoff. Journal of Perianesthesiology Nurse. 2019;34(4):P834-841.

Joshi GP, Kehlet H. Postoperative pain management in the era of ERAS: an overview. Best Pract Res Clin Anaesthesiol. 2019;33(3):259- 267.

Soewanto W, Ardianti M. Tracheomalacia following a total thyroidectomy in a patient with a large non-toxic goiter: A case report. Internasional Journal of Surgery. 2024;116:2210-2612

Published

2025-10-13

How to Cite

Salsabila, I., & Indrawan, K. (2025). Anesthesia Management In Patients With Suspected Malignant Thyroid Tumors Dextra: A Case Report. Medical Profession Journal of Lampung, 15(3), 498-506. https://doi.org/10.53089/medula.v15i3.1683

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