Surgical therapeutic planning options in nodular goiter.

Abstract:

:Nodular goiter encompasses a spectrum of diseases from the incidental asyntomatic small solitary nodule to the large intrathoracic goiter causing pressure symptoms as well as functional complaints. The mainstay in the diagnostic evaluation is related to functional and morphological characterization with serum thyroid-stimulating hormone (TSH), ultrasound (US) and other imaging procedures and cytology by fine needle aspiration (FNA) on the basis of the different diseases. A clinical classification considering solitary cyst, adenomatous functioning nodule, follicular lesion and multinodular goiter may be proposed to consider the alternative therapies other than surgery as TSH suppressive or thyrostatic treatment, 131I therapy, percutaneous ethanol injection therapy (PEIT) or the only clinical exam in benignant lesions. Surgery should be advocated for the treatment of thyroid nodules whenever a patient presents with either pressure symptoms, hyperthyroidism or follicular/indeterminate cytology. Surgical approach, intraoperatory strategy and the extension of surgical treatment are correlated to the different clinical categories. At surgery the frozen section analysis in case of hemithyroidectomy is of aid to rule out malignancy and to prevent the reoperation. The surgical treatment of choice in case of uninodular goiter is lobectomy, total thyroidectomy or near total thyroidectomy is the correct treatment of multinodular bilateral goiter. The choice of the treatment must be condivided with the patient.

journal_name

Minerva Endocrinol

journal_title

Minerva endocrinologica

authors

Pelizzo MR,Merante Boschin I,Toniato A,Sorgato N,Marzola MC,Rubello D

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

173-85

issue

3

eissn

0391-1977

issn

1827-1634

pii

R07101780

journal_volume

35

pub_type

杂志文章,评审
  • [Fetal macrosomia in children of diabetic mothers: relationship with excess weight in early years of life].

    abstract::One hundred children (4.1 +/- 1.9 years) were examined: 31 of type I diabetic mothers, 25 of type II diabetic mothers and 44 of gestational diabetic mothers. The fetal body weight index at delivery was determined according to Babson. The weight/height index was determined according to Tunner's Centiles, when the child...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Botta RM,Salvo C,Galluzzo G

    更新日期:1990-07-01 00:00:00

  • [Differentiated carcinoma of the thyroid in the young. Clinical and histopathologic aspects].

    abstract:BACKGROUND:The surgical approach to Differentiated Thyroid Carcinoma (DTC) is controversial. Aim of this study is to evaluate the opportunity of total thyroidectomy as treatment of choice for DTC in children. METHODS:We examined the tumor features at diagnosis, the complications of surgery and the clinical outcome in ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Iurato MP,Scollo C,Belfiore A,Pellegriti G,Salice P,Pezzino V,Giuffrida D

    更新日期:2000-06-01 00:00:00

  • [Applications and results of photon absorptiometry].

    abstract::Bone mineral content (CMO, mg/cm2) was measured at the distal radius by dual photon absorptiometry (DPA, I125, Am241) in 1.161 women (w), aged 20-87 years. Women were subdivided into different groups according to the presence and duration of menopause. For gross evaluation of spinal osteoporosis (OP), the results of s...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Di Munno O,Occhipinti G,Pontrandolfo A

    更新日期:1991-04-01 00:00:00

  • Continuous glucose monitoring in diabetes patients with chronic kidney disease on dialysis: a meta-analysis.

    abstract:BACKGROUND:This study evaluates the effectiveness of continuous glucose monitoring (CGM) in diabetes patients who were on routine dialysis. METHODS:Literature search was conducted in electronic databases and studies were selected by following precise eligibility criteria. Random-effects meta-analyses were performed to...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03284-8

    authors: Wang F,Wang D,Lyu XL,Sun XM,Duan BH

    更新日期:2020-12-03 00:00:00

  • Hormones and homocysteine.

    abstract::Hyperhomocysteinemia is a well-established risk factor for cardiovascular disease. Various factors, both modifiable and non-modifiable, interact with the homocysteine metabolism and determine the plasma homocysteine concentrations. These include genetic abnormalities, age, sex and various nutritional and hormonal dete...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Asnani S,Desouza C,Homan J,Murthy SN,McNamara DB,Fonseca V

    更新日期:2002-09-01 00:00:00

  • [Melatonin/circadian rhythm. Is there a feedback between epiphysis and hypophysis?].

    abstract:BACKGROUND:The study evaluates the circadian rhythm of melatonin in relation to sex and age and identified contemporary alterations in the secreton of some hypophyseal hormones, suggesting that melatonin may exert a modulatory action on the latter. METHODS:The melatonin metabolite (6-hydroxymelatonin sulfate) was assa...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Pallotti S,Nordio M,Giuliano S

    更新日期:2002-06-01 00:00:00

  • [Comparative study of the efficiency of ultralente insulin and NPH insulin combined with sulfonylurea in type 2 diabetes patients with secondary tolerance to sulfonylurea. Possible selection criteria].

    abstract::The treatment of NIDDM patients with secondary failure to sulfonylureas is still a debated problem. In this study we compared in NIDDM patients with secondary failure to glyburide, the effect of adding a single, low-dose bed time either NPH or ultralent insulin injection (0.15-0.2 U/kg) to the previously ineffective s...

    journal_title:Minerva endocrinologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Sangiorgio L,Rabuazzo MA,Cordaro G,Grasso G,Condorelli L,Lunetta M

    更新日期:1996-06-01 00:00:00

  • Untargeted metabolomics analysis of serum and follicular fluid samples from women with polycystic ovary syndrome.

    abstract:BACKGROUND:Polycystic ovary syndrome (PCOS) is a complex endocrine disorder with well-established metabolic abnormalities. In the present study, untargeted metabolomics technology was applied to analyze the serum and follicular fluid samples from women with polycystic ovary syndrome and healthy controls using 1H nuclea...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03199-5

    authors: Xu WL,Liu GY,Zhang N,Ren J,Li XY,Li YQ,Chen Y,Liu JY

    更新日期:2020-10-26 00:00:00

  • Predicting, managing and preventing new-onset diabetes after transplantation.

    abstract::New-onset diabetes after transplantation (NODAT) or posttransplant diabetes mellitus is a frequent metabolic complication of organ transplantation. Diabetes incidence rates among transplant recipients are higher than in the general population. The estimated rates are 9-18% after kidney, 20-33% after liver, 26-40% afte...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Gosmanov AR,Dagogo-Jack S

    更新日期:2012-09-01 00:00:00

  • Anaplastic thyroid cancer: prevalence, diagnosis and treatment.

    abstract:UNLABELLED:Anaplastic thyroid cancer (ATC) is a rare aggressive tumor arising from the follicular cells of the thyroid gland (as does well differentiated thyroid cancer, WDTC), but ATC cells do not retain any of the biological features of the original follicular cells, such as uptake of iodine and synthesis of thyroglo...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Chiacchio S,Lorenzoni A,Boni G,Rubello D,Elisei R,Mariani G

    更新日期:2008-12-01 00:00:00

  • Diabetes mellitus and the risk of cancer.

    abstract::Although diabetes has been known to increase the risk of cancer for over a century, it was not until recently when this area gained momentum and generated a lot of interest. That is in- part because of the rising global diabetes epidemic and the wide spread use of insulin analogues, metformin and other anti-diabetic a...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pandey A,Forte V,Abdallah M,Alickaj A,Mahmud S,Asad S,McFarlane SI

    更新日期:2011-09-01 00:00:00

  • A paradigm shift in preventing diabetic heart failure? A review of SGLT2 inhibitors.

    abstract::Recent trials have reported sodium-glucose co-transporter 2 (SGLT2) inhibitors to decrease cardiac morbidity and hospitalization in diabetic patients. They have a remarkable ability to modify the cardio-renal axis and have a safer metabolic profile among the existing pharmacotherapy in diabetes. There are multiple pro...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03221-6

    authors: Khadke S,Jawaid H,Yasmin F,Binte Ali M,Rehman A

    更新日期:2020-12-17 00:00:00

  • Role of the IGF axis in prostate cancer.

    abstract::The major issue currently being faced in the management of prostate cancer is the inability to distinguish between indolent prostate tumors that will not present clinically from more aggressive and metastatic prostate cancers that will impact on men's lives. Only a small proportion of prostate cancers can be accounted...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Biernacka KM,Perks CM,Holly JM

    更新日期:2012-06-01 00:00:00

  • Fertility preservation for social and oncofertility indications.

    abstract::The desire to reproduce is a base human instinct. However, for many individuals, the chances of being able to have a genetic child are compromised by a number of factors. For some, therapies aimed at treating serious medical illness, such as cancer; result in a deleterious impact on the function of eggs and sperm in t...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0391-1977.17.02666-9

    authors: Brezina PR

    更新日期:2018-03-01 00:00:00

  • Radiological localizing techniques in adrenal tumors.

    abstract::The characterisation of adrenal lesions is a common radiological dilemma. Incidental adrenal lesions are commonly detected with computed tomography (CT), and lesion characterisation is critical. The prevalence of incidental adrenal lesions has been reported to be 2.3% at autopsy and 0.5-2% with abdominal CT. Such lesi...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Welsh SJ,Khan S

    更新日期:2009-06-01 00:00:00

  • New technologies for treating obesity.

    abstract::Obesity has become a national epidemic and a disease of global magnitude. The numbers of patients with obesity have grown exponentially in the last 10 years to the degree that the Centers for Disease Control and Prevention reports that one third of the US population is obese. The prevalence of diabetes has grown by mo...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Bermudez DM,Pories WJ

    更新日期:2013-06-01 00:00:00

  • [Ultrasonography techniques in the evaluation of the osteoporotic patient].

    abstract::Previous studies have shown a significant but weak correlation between speed of sound (SOS) and broadband ultrasound attenuation (BUA) in bone, and densitometric bone measurements. These findings indicate that these techniques reflect different properties of bone. We measured SOS and BUA in the os calcis (Achilles, Lu...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Agnusdei D,Cepollaro C,Camporeale A,Gennari C

    更新日期:1992-10-01 00:00:00

  • [Treatment of male idiopathic sterility with gonadotropin].

    abstract::The present paper reports our personal data on gonadotropin therapy in patients with idiopathic secretory oligozoospermia due to a low biological activity of LH. In recent years the use of more specific diagnostic procedures, particularly the biological assay of gonadotropins, and a better knowledge of the biological ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Conte D,Romanelli F,Isidori A

    更新日期:1990-01-01 00:00:00

  • [Hypophyseal tumors and diabetes mellitus. Hypothalamus-hypophyseal correlations and glucose metabolism].

    abstract::As it's well known from the clinic, human syndromes depending on pituitary GH, ACTH and PRL secreting tumors are associated with alteration of glucose homeostasis. There is an hypothetical but convincing explanation for this, based on a number of concrete observations and experiments. The main mechanism for glucose in...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Blasi C,Grossi A,Tamburrano G

    更新日期:1990-07-01 00:00:00

  • [Percutaneous ethanol injections in the treatment of autonomous thyroid nodules. 4 years' experience].

    abstract::We treated with PEI 81 patients carriers of autonomous thyroid nodule, 65 toxic and 16 non toxic, all with undetectable serum TSH and suppressed extranodular tissue on scintigraphy. The treatment schedule was: 1-2 sessions per week, 1-8 ml per session, 3-13 sessions in total, In relation to the size and the therapeuti...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Livraghi T,Ferrari C,Paracchi A,Reschini E,Macchi RM,Ciocia GL,Pirola P

    更新日期:1993-12-01 00:00:00

  • Secondary adrenal insufficiency: from the physiopathology to the possible role of modified-release hydrocortisone treatment.

    abstract::Central adrenal insufficiency (AI) represents a life-threatening disorder that results from a reduced cortisol production due to an impairment production of adrenocorticotropic hormone (ACTH). In particular, secondary AI results from pituitary disease that impedes the release of ACTH, while tertiary AI is caused from ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0391-1977.17.02701-8

    authors: Paragliola RM,Corsello SM

    更新日期:2018-06-01 00:00:00

  • [The role of the endogenous opioid system in the pathogenesis of polycystic ovary syndrome: the altered neuroendocrine regulation of GnRH-LH is corrected after clomiphene therapy].

    abstract::To investigate whether inappropriate LH secretion in Polycystic Ovary Syndrome (PCO) was related to a reduction of inhibitory opioid control on the GnRH-LH system, 23 women affected by PCO (12 obese, BMI: 37.1 +/- 3.9 and 11 non obese, BMI: 21.5 + 2.4) and 19 fertile women (10 obese, BMI: 38.8 + 1.8 and 9 non obese, B...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Barletta C,Vagiri D,Scavo D

    更新日期:1992-07-01 00:00:00

  • Diagnosis, treatment, clinical course, and prognosis of childhood-onset craniopharyngioma patients.

    abstract::For decades gross-total resection was the preferred treatment option in childhood-onset craniopharyngioma, assuming that radical strategies at the time of initial diagnosis and treatment would result in cure. Recent reports on long-term prognosis, novel treatment approaches, and molecular genetics provide new insights...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,meta分析,评审

    doi:10.23736/S0391-1977.17.02615-3

    authors: Müller HL

    更新日期:2017-12-01 00:00:00

  • Mediterranean diet and breast cancer risk: a narrative review.

    abstract::Breast cancer is the second most frequent type of cancer worldwide and the most commonly occurring malignancy in women, and its incidence is increasing in most developed and developing countries. There is growing evidence that lifestyle factors, in particular diet may be associated with higher Breast Cancer risk. Some...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03266-6

    authors: Laudisio D,Castellucci B,Barrea L,Pugliese G,Savastano S,Colao A,Muscogiuri G

    更新日期:2020-09-24 00:00:00

  • [New developments in the treatment of medullary thyroid carcinoma].

    abstract::Medullary thyroid carcinoma arises from the C cells, which produce a characteristic hormone, calcitonin. At present, surgery is the main treatment modality. Medullary thyroid carcinoma is usually treated with total thyroidectomy and with removal of nodes in the central portion of the neck and upper mediastinum. Cervic...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitale G,Cascone E,Lupoli G Jr,Ciccarelli A,Barone C,Lupoli G

    更新日期:1998-12-01 00:00:00

  • Aromatase and prostate cancer.

    abstract::The normal growth and development of the prostate requires the presence and action of androgens, which are also known risk factors in the origins of benign and malignant prostate disease. Paradoxically, the incidence of prostate disease increases with age when serum androgen levels are in decline and emerging evidence...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Ellem SJ,Risbridger GP

    更新日期:2006-03-01 00:00:00

  • [Carotid glomus tumours. Personal experience in the surgical treatment of chemodectoma].

    abstract::The authors present 6 cases of carotid glomus tumours referred to their attention over the past 10 years. Their experience shows that colour ultrasonography (using both morphological and functional evaluation) is the diagnostic key for defining the treatment of paraganglioma. More recent experience highlights the role...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: De Falco M,Sperlongano P,Parmeggiani D,Pisaniello D,Parmeggiani U

    更新日期:2001-12-01 00:00:00

  • [Immunologic and genetic aspects of latent autoimmune diabetes in the adult].

    abstract::The presence of islet cell autoantibodies (ICA), and especially of glutamic acid decarboxylase autoantibodies (GAD65Ab), in patients with non-insulin-dependent diabetes mellitus identifies the so-called latent autoimmune diabetes in the adult (LADA). LADA patients have an increased risk for developing insulin deficien...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Falorni A

    更新日期:2003-12-01 00:00:00

  • Determinants of altered sensorium at presentation with diabetic ketoacidosis.

    abstract:AIM:The aim of this paper was to determine the prevalence of altered sensorium and their determinants in diabetic ketoacidosis (DKA). METHODS:Retrospective review of medical records for diabetic ketoacidosis admissions over a two year period. RESULTS:A total of 94 admissions for DKA in 89 patients were reviewed. Majo...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Ekpebegh C,Longo-Mbenza B

    更新日期:2011-12-01 00:00:00

  • [Diabetes monitoring for the pregnant diabetic].

    abstract::Diabetological care in pre-gestational (preGDM) and gestational (GDM) pregnant diabetic is an indispensable factor for the reduction of risk of mother, fetus and newborn complications. The adoption of an intensified therapy, aiming at maintaining almost normal glycemic values, and the improvement in fetal monitoring h...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Dradi Maraldi C,Santini C

    更新日期:1994-06-01 00:00:00