scholarly journals L-thyroxine in the treatment of solitary nodular non-toxic goiter in concomitant coronary heart disease

1999 ◽  
Vol 45 (3) ◽  
pp. 25-28
Author(s):  
E. A. Troshina ◽  
A. A. Alexandrov ◽  
G. A. Gerasimov ◽  
I. I. Dedov ◽  
A. I. Martynov ◽  
...  

Endocrinological and cardiological parameters were assessed in coronary patients with nodular euthyroid goiter before and during treatment in order to define the optimal protocols of L-thyroxin therapy. Ultrasonic examination of the thyroid, fine needle puncture biopsy and cytological analysis of biopsy specimens, measurements of thyrotropic hormone, electrocardiography, and high resolution electrocardiography were carried out. The results helped distinguish the cardiological criteria for decreasing the dose of L-thyroxin or its discontinuation in coronary patients with nodular goiter and define the indications for such therapy in this patient population. Therapy with L-thyroxin is justified in the above patient population only on condition of monitoring the cardiovascular status. Therefore, the presence of coronary disease or its risk factors in a patient with nodular colloid proliferating goiter is not a contraindication preventing thyroxin therapy in adequate doses.


1993 ◽  
Vol 39 (6) ◽  
pp. 30-33
Author(s):  
S. L. Vnotchenko ◽  
T. A. Okeanova ◽  
M. E. Bronshtein ◽  
S. B. Nefedov ◽  
G. I. Fedoseeva

A retrospective analysis of the results of puncture thyroid biopsy is presented in 256 patients operated on for nodular goiter. Cytological data coincided with histological in 84.8% of cases. Coincidences were most frequent with (multiple) nodular colloid goiter and thyroid cysts (95.7 = 100%) and the least with a single adenoma (65.4%) of predominantly follicular structure. In thyroid cancer, the data correlated in 75% of cases. The presence of cystic changes in the adenoma made the study less informative. The results of an ultrasound examination of the thyroid gland coincided with operational data in 87.5% of patients with (multiple) nodular goiter and in 86.1% of patients with adenomas. Ultrasonography as a method of imaging the thyroid gland is preferable to scintigraphy (scanning) and is the optimal complement to the thyroid puncture biopsy.



1999 ◽  
Vol 45 (5) ◽  
pp. 34-38
Author(s):  
M. E. Bronstein

Morphological methods for studying the thyroid gland (thyroid gland) can clarify its structure and the nature of the pathological changes that developed in it, and thereby verify the diagnosis. There are 2 main methods of morphological diagnostics: microscopic examination of punctate obtained using a fine-needle puncture biopsy (aspiration and non-aspiration), and macro and microscopic examination of removed thyroid tissue.



Cancer ◽  
1987 ◽  
Vol 60 (8) ◽  
pp. 1866-1871 ◽  
Author(s):  
Christian Hermansen ◽  
Hans Skovgaard Poulsen ◽  
Jørn Jensen ◽  
Bent Langfeldt ◽  
Verner Steenskov ◽  
...  


2019 ◽  
Vol 91 (4) ◽  
pp. 1-3
Author(s):  
Adriana Ruano Campos ◽  
Daniel Rivera Alonso ◽  
Santiago Ochagavía Cámara

Background: Differential diagnosis of a cervical lesion corresponding with papillary thyroid carcinoma (PTC) after benign total thyroidectomy can be a real challenge. Methods: A cervical thyroid remnant compatible with papillary carcinoma was incidentally found ten years after total thyroidectomy for a non-functional multinodular goitre. Histological analysis of fine needle puncture aspiration (FNPA) was highly suggestive for PTC. Surgical excision of the cervical lesion was performed. Specimen study demonstrated a classic variant of PTC contacting a peripheral margin, applying ablative treatment with radioactive iodine postoperatively. Results: The patient did not present signs of recurrence during follow-up. Small thyroid remnants after benign thyroidectomy are often left behind, although their risk of malignancy is exceptional. Conclusions: It is important to individualize therapeutic approach when facing this rare entity. We decided to treat the patient by removing the lesion followed by ablation therapy with successful results. PTC: Papillary thyroid carcinoma FNPA: Fine needle puncture aspiration



Gut ◽  
1989 ◽  
Vol 30 (2) ◽  
pp. 228-232 ◽  
Author(s):  
G Kleber ◽  
T Sauerbruch ◽  
G Fischer ◽  
G Paumgartner


Radiology ◽  
1991 ◽  
Vol 180 (2) ◽  
pp. 586-586 ◽  
Author(s):  
J Herbetko ◽  
J S Fache


1995 ◽  
Vol 68 (807) ◽  
pp. 271-276 ◽  
Author(s):  
S H Hussaini ◽  
C Kennedy ◽  
S P Pereira ◽  
J A H Wass ◽  
R H Dowling


1990 ◽  
Vol 25 (11) ◽  
pp. 1097-1102 ◽  
Author(s):  
N. Ebbehøj ◽  
L. Borly ◽  
J. Bülow ◽  
J. H. Henriksen ◽  
K. J. Heyeraas ◽  
...  


Radiology ◽  
1979 ◽  
Vol 132 (1) ◽  
pp. 228-230 ◽  
Author(s):  
Rolf Günther ◽  
Peter Aiken ◽  
Jens E. Altwein


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