Surgical resection of the thyroid and parathyroid glands

Woenckhaus, U. and Buettner, R. and Bollheimer, L. C. (2007) Surgical resection of the thyroid and parathyroid glands. INTERNIST, 48 (6). 569-+. ISSN 0020-9554,

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Abstract

The main indication for surgery of the thyroid gland is the resection of nodular, suspicious or hyperfunctioning tissue. Following thyroidectomy, L-thyroxine therapy is initiated adjusted to the remnant thyroid function. To prevent recurrence of a multinodular goiter, supplementation with iodine is strongly recommended. The management of patients with differentiated thyroid cancer depends on risk stratification. Although large prospective studies are missing, low-risk patients probably do not benefit from total thyroid ablation and lifelong thyroxine suppression therapy. As a result of impaired parathyroid function or resection of the parathyroid glands for hyperparathyroidism, acute or chronic hypocalcaemia can develop. If treatment with oral calcium is insufficient, the addition of a vitamin D analogue is necessary. This requires close monitoring to avoid renal or other hypercalcaemic complications.

Item Type: Article
Uncontrolled Keywords: ASYMPTOMATIC PRIMARY HYPERPARATHYROIDISM; MULTINODULAR GOITER; NONTOXIC GOITER; NODULAR GOITER; SURGERY; THERAPY; DISEASE; BENIGN; HYPOCALCEMIA; RECURRENCE; thyroid surgery; parathyroid resection; goiter prophylaxis; thyroid cancer; hypoparathyroidism
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Dec 2020 10:32
Last Modified: 03 Dec 2020 10:32
URI: https://pred.uni-regensburg.de/id/eprint/32670

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