Contribution to the Surgical Treatmentof Toxic Autonomous Thyroid Adenoma
Z. Kučera; J. Betka; M. Taudy; V. Salač; J. Dušková *; P. Vlček **
Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FNM, Praha, katedra otorinolaryngologie IPVZ, Praha, přednosta prof. MUDr. J. Betka, DrSc. Patologický ústav 1. LF UK a VFN, Praha, přednosta prof. MUDr. C. Povýšil, DrSc. * Klinika nukleární
Otorinolaryng. a Foniat. /Prague/, , 2003, No. 2, pp. 55-58.
Toxic autonomous adenoma, independent adenoma of the thyroid gland is one of thethree most frequent causes of hyperthyroidismand thyrotoxicosis resp. (along with Grave’s diseaseand polynodular toxic goitre). The incidence of multifocal or disperse autonomy is quite rare. Allthese conditions are characterized by secretion of thyroid hormones, regardless of the needs of theorganism. This leads to the clinical picture of the disease. The manifestations resemble classicalGrave’s disease, although a milder form.Modern diagnosis is based on laboratory examination, sonography (FNAB), scintigraphy. Thestrategy of treatment is determined by the endocrinologist who uses thyrostatic preparations.Definite treatment are surgery and radioiodine treatment. Surgery involves either hemithyroidectomyor total thyroidectomy. Subsequent treatment by an endocrinologist is essential.The authors present a group of 58 patients treated by surgery in the course of eight years. Part ofthe analysis is statistical processing of the group, the frequency of different types of surgicaloperations on the thyroid gland, the incidence of postoperative complications.
toxic autonomous thyroid adenoma, laboratory examination, sonography, surgicaltreatment.
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