Endocrine (detailed report by Jozaghi Y, Zafereo M, et
al.16)
- Early stage: postpone surgery
- Primary hyperparathyroidism
- Indeterminate thyroid nodules without documented progression
- Medically-controlled Grave’s disease
- Thyroid goiter (very rarely acutely symptomatic)
- Intermediate stage: postpone most surgeries
- Large indeterminate thyroid nodules (particularly suspected
malignancies) with documented progression
- Differentiated thyroid cancer
- Medullary thyroid cancer
- Advanced stage: proceed with most surgeries
- Any thyroid tumor requiring acute airway management
- Anaplastic thyroid cancer, poorly differentiated thyroid cancer, and
some rapidly progressive/clinically aggressive differentiated and
medullary thyroid cancers
- Refer to Jozaghi Y, Zafereo M, et al .’s report for
additional details on aggressive thyroid cancer management in the
time of a pandemic
- Suspected parathyroid carcinoma with significant symptomatic
hypercalcemia
- Medically-uncontrolled and significantly symptomatic Grave’s disease