Approach to and Treatment of Goiters


Autoria(s): Medeiros-Neto, Geraldo; Camargo, Rosalinda Y.; Tomimori, Eduardo K.
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

30/10/2013

30/10/2013

2012

Resumo

The main causes of simple diffuse goiter (SDG) and multinodular goiter (MNG) are iodine deficiency, increase in serum thyroid-stimulating hormone (TSH) level, natural goitrogens, smoking, chronic malnutrition, and lack of selenium, iron, and zinc. Increasing evidence suggests that heredity is equally important. Treatment of SDG and MNG still focuses on L-thyroxine-suppressive therapy surgery. Radioiodine alone or preceded by recombinant human TSH stimulation is widely used in Europe and other countries. Each of these therapeutic options has advantages and disadvantages, with acute and long-term side effects.

Instituto da Tiroide-Sao Paulo, Brazil

Instituto da TiroideSao Paulo, Brazil

Identificador

MEDICAL CLINICS OF NORTH AMERICA, PHILADELPHIA, v. 96, n. 2, supl. 1, Part 3, pp. 351-+, MAR, 2012

0025-7125

http://www.producao.usp.br/handle/BDPI/36916

10.1016/j.mcna.2012.01.010

http://dx.doi.org/10.1016/j.mcna.2012.01.010

Idioma(s)

eng

Publicador

W B SAUNDERS CO-ELSEVIER INC

PHILADELPHIA

Relação

MEDICAL CLINICS OF NORTH AMERICA

Direitos

closedAccess

Copyright W B SAUNDERS CO-ELSEVIER INC

Palavras-Chave #SIMPLE GOITER #MULTINODULAR GOITER #SONOGRAPHY #SURGERY #L-THYROXINE THERAPY #RADIOIODINE ABLATION #RECOMBINANT HUMAN THYROTROPIN #NONTOXIC MULTINODULAR GOITER #LEVOTHYROXINE SUPPRESSIVE THERAPY #FAMILIAL EUTHYROID GOITER #NON-TOXIC GOITER #NODULAR GOITER #RADIOIODINE THERAPY #HUMAN TSH #THYROID-NODULES #DOUBLE-BLIND #MEDICINE, GENERAL & INTERNAL
Tipo

article

original article

publishedVersion