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Revisão Produção Nacional Revisado por pares

BIBTEX RIS

Approach to and Treatment of Goiters

2012; Elsevier BV; Volume: 96; Issue: 2 Linguagem: Inglês

10.1016/j.mcna.2012.01.010

1557-9859

Geraldo Medeiros‐Neto, R. Y. A. Camargo, Eduardo Tomimori,

Thyroid and Parathyroid Surgery

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.