Endocrine (detailed report by Jozaghi Y, Zafereo M, et al.16)
· Early stage: postpone surgery
o Primary hyperparathyroidism
o Indeterminate thyroid nodules without documented progression
o Medically-controlled Grave’s disease
o Thyroid goiter (very rarely acutely symptomatic)
· Intermediate stage: postpone most surgeries
o Large indeterminate thyroid nodules (particularly suspected malignancies) with documented progression
o Differentiated thyroid cancer
o Medullary thyroid cancer
· Advanced stage: proceed with most surgeries
o Any thyroid tumor requiring acute airway management
o 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
o Suspected parathyroid carcinoma with significant symptomatic hypercalcemia
o Medically-uncontrolled and significantly symptomatic Grave’s disease