Goitre due to nodular thyroid disease is common. Most patients present with benign disease and are euthyroid at presentation, but careful clinical evaluation (thyroid function tests and fine needle biopsy) is essentia...
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Goitre due to nodular thyroid disease is common. Most patients present with benign disease and are euthyroid at presentation, but careful clinical evaluation (thyroid function tests and fine needle biopsy) is essential to determine appropriate therapy. Thyroid hormone therapy should be reserved for hypothyroid patients and those with Hashimoto's thyroiditis. Iodine supplements are not beneficial. Indications for surgery are a malignant or atypical finding on fine needle biopsy, a recurrent cyst larger than 4 cm in diameter, or a goitre causing obstruction.
Objective To evaluate the safe and rationality of total/near total bilateral thyroidectomy （TBT） for patients with bilateral multinodualar goiter （BMG）. Methods From January 2003 to December 2006, 311 BMG cases we...
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Objective To evaluate the safe and rationality of total/near total bilateral thyroidectomy （TBT） for patients with bilateral multinodualar goiter （BMG）. Methods From January 2003 to December 2006, 311 BMG cases were preoperatively divided into two groups, 130 cases in group A underwent TBT, and 181 cases in group B were treated with subtotal/partial thyroidectomy. Results There were 6 and 2 cases in group B respectively diagnosed by intraoperative frozen biopsy as BMG, but identified as papillary carcinoma by final pathology.
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