2018
DOI: 10.3238/arztebl.2018.0001
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Indications for the Surgical Management of Benign Goiter in Adults

Abstract: The decision to operate should be made on an interdisciplinary basis and in conformity with the relevant guidelines after all of the appropriate diagnostic studies have been performed. The radicality of any proposed surgical procedure should be weighed against its potential complications.

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Cited by 34 publications
(24 citation statements)
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“…Neither chronic thyroiditis or primary lymphoma have as first line approach surgery even in selected cases this is indicated (19). Single or multinodular goitre is removed if compressive symptoms are presented; also, in cases with hyperthyroidism (including Basedow-Graves disease regardless the goitre aspect at ultrasound) or in subjects with suspected nodules for a malignancy (20).…”
Section: General Datamentioning
confidence: 99%
“…Neither chronic thyroiditis or primary lymphoma have as first line approach surgery even in selected cases this is indicated (19). Single or multinodular goitre is removed if compressive symptoms are presented; also, in cases with hyperthyroidism (including Basedow-Graves disease regardless the goitre aspect at ultrasound) or in subjects with suspected nodules for a malignancy (20).…”
Section: General Datamentioning
confidence: 99%
“…Aktuelle Bestrebungen zur Verbesserung der Ergebnisqualität für die Schilddrüsenchirurgie konzentrieren sich auf die Vermeidung unnötiger Operationen durch eine kritischere Indikationsstellung [16,17], die Schonung des N. recurrens [18][19][20][21] und die Vermeidung bzw. optimierte Versorgung eines postoperativen Hypoparathyreoidismus [22][23][24].…”
Section: Diskussionunclassified
“…It is often critically noted that, especially in Germany, thyroid resections are indicated too liberally for so-called “cold”, potentially malignant nodules, since the preoperative tools recommended in the guidelines for determining the risk of malignancy are not completely used [2,14]. In the present study, the main indication for surgery was “exclusion of malignancy” in two thirds of patients, but a preoperative FNAC was performed in only 12%, and a preoperative calcitonin screening in only 60% of these patients.…”
Section: Discussionmentioning
confidence: 99%
“…Germany is an endemic goitre area and thyroid resections are among the most frequent visceral operations, with approx. 70,000 procedures being carried out per year [1,2]. Thyroid resections are performed by general surgeons, as well as specialized endocrine surgeons in hospitals of all care levels.…”
Section: Introductionmentioning
confidence: 99%