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Hemithyroidectomy for benign euthyroid asymmetric nodular goitre.
Best Practice & Research Clinical Endocrinology & Metabolism ( IF 7.4 ) Pub Date : 2019-06-14 , DOI: 10.1016/j.beem.2019.06.004
Marcin Barczyński 1 , Małgorzata Stopa-Barczyńska 2
Affiliation  

BACKGROUND There is no consensus on the optimal surgery extent for patients with benign euthyroid asymmetric nodular goitre (AMNG). METHODS We reviewed medical literature using the PubMed engine to address the following issues: definition and prevalence, rationale for hemithyroidectomy, long-term outcomes, follow-up, revision surgery and image-guided thermal ablation of contralateral benign thyroid nodules following hemithyroidectomy for AMNG. RESULTS In total, 102 articles were found in MEDLINE using a keyword search strategy; subsequently, we selected 36 articles with clinical pertinence. CONCLUSIONS AMNG is a common clinical and surgical problem. Depending on the extent of the disease and individual surgeon preferences, either unilateral or bilateral thyroidectomy can be performed. Hemithyroidecomy can be considered for some patients with AMNG and the low risk of recurrent disease as a safer alternative to total thyroidectomy but it requires life-long follow-up, is associated with a higher recurrence risk and a need for revision thyroidectomy in selected subjects.

中文翻译:

甲状腺甲状腺切除术用于良性甲状腺功能正常的不对称结节性甲状腺肿。

背景对于良性甲状腺功能正常的非对称性结节性甲状腺肿(AMNG)患者的最佳手术范围尚无共识。方法我们回顾了使用PubMed引擎解决以下问题的医学文献:定义和患病率,半甲状腺切除术的原理,长期结局,随访,翻修手术以及对AMNG进行半甲状腺切除术后对侧良性甲状腺结节的图像引导热消融。结果在MEDLINE中,使用关键词搜索策略共发现102篇文章。随后,我们选择了36篇与临床相关的文章。结论AMNG是常见的临床和外科问题。根据疾病的程度和个别医生的喜好,可以进行单侧或双侧甲状腺切除术。
更新日期:2019-06-14
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