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INTEGRATED MULTIDISCIPLINARY THYROID CENTRE CONTACT For more information regarding the Integrated Thyroid Centre, or to book an appointment, please contact the GP Liaison Department on: Tel: 020 7234 2009 Fax: 020 7234 2019 Email: [email protected] HOW TO FIND US: London Bridge Hospital is situated on the South Bank of the Thames. We are opposite London Bridge mainline and underground stations with easy access to the City. Please note: no right hand turn from Borough High Street into Duke Street Hill. Web: www.londonbridgehospital.com Opening hours: Monday-Friday, 8.00am – 6.00pm 27-29 Tooley Street, London SE1 2PR Tel: 020 7407 3100 Fax: 020 7407 3162 Email: [email protected] Web: www.londonbridgehospital.com V1/05/14 What is the thyroid gland? The thyroid gland lies in the front of the neck just below the Adam’s apple and is butterfly-shaped. The right and left wings (lobes) are joined by a small bridge of thyroid tissue (body), called the isthmus. The two lobes lie on either side of the windpipe. The thyroid gland manufactures hormones, which circulate in the bloodstream and control the metabolism of all the cells and tissues in the body. Thyroid hormones are essential for survival. What can go wrong with the thyroid? Disorders of the thyroid are relatively common, affecting up to 1 in 20 people of all ages, and are more common in women than in men. Most thyroid problems can be treated very effectively. ABNORMALITIES OF THYROID HORMONE PRODUCTION Most common thyroid problems involve either excessive thyroid hormone production (hyperthyroidism or thyrotoxicosis) or too little thyroid production (hypothyroidism). There can be a variety of reasons for these problems, most of which can be treated successfully with tablets; however, occasionally they require treatment with radioiodine or surgery, all of which can be provided by our comprehensive service. GOITRES Any enlargement of the thyroid gland is called goitre. This can be caused by the whole gland being enlarged (diffuse goitre) or due to solitary or multiple nodules (nodular goitre) within the thyroid. The majority of goitres are not cancerous. However, a small proportion of goitres may harbour cancer cells, and it is important that a specialist team properly assesses all goitres. THYROID CANCER Thyroid cancers are rare, but the incidence is increasing. Over 60% of thyroid cancers present with a palpable thyroid lump. The vast majority of thyroid cancers are curable with adequate treatment, which usually includes surgery to remove all or part of the thyroid gland. The surgical treatment is usually followed with radioiodine treatment and hormone replacement therapy. THE SERVICE The Integrated Multidisciplinary Thyroid Centre at London Bridge Hospital is the product of collaboration between the thyroid multidisciplinary team of the South East London Head and Neck Cancer Network, and the newly-formed London Cancer Alliance. The London Bridge Hospital Integrated Thyroid Centre offers a comprehensive service for all types of thyroid disorders, including underactive and overactive thyroid, thyroiditis, thyroid nodules, thyroid goitres and thyroid cancer. Our expert team of clinicians have extensive experience in the management of all aspects of thyroid disease, and can offer effective diagnostic services and treatments for every thyroid condition; from abnormalities of thyroid hormone production, through to highlycomplex thyroid surgery. Our Centre is equipped with state-of-the-art technology to diagnose and treat thyroid disorders. We offer blood tests, high-resolution ultrasoundguided Fine-Needle Aspiration Cytology (FNAC), nuclear medicine thyroid scans, computerised tomography and magnetic resonance imaging. All necessary investigations can be carried out quickly, on site, by our team of experienced clinicians. Thyroid cancer and complex cases are discussed at the weekly Thyroid Multidisciplinary Team meeting where the most appropriate and comprehensive recommendation is made for each patient. The Team offers a comprehensive range of thyroid surgeries for benign conditions and thyroid cancer. We also offer revision thyroid surgery and extensive procedures such as the removal of retrosternal goitres, which sometimes require collaboration with the Team’s thoracic surgeons. The surgical team also has access to neuromonitoring, which allows our surgeons to identify, confirm and monitor the recurrent laryngeal nerve and other cranial nerves during thyroid surgery. The Integrated Thyroid Centre at London Bridge Hospital offers a unique, multidisciplinary approach to all thyroid disorders. We work in partnership with patients to allow an informed choice to be made regarding the latest treatment options.