Treatment of the autonomous thyroid nodule: a review

Ferrari, C; Reschini, Eugenio; Paracchi, A.

doi:10.1530/eje.0.1350383

Cited by 78 publications

(70 citation statements)

References 29 publications

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“…However, the fact that we only observed the development of hypothyroidism in patients with detectable serum TSH supports the recommendation to keep patients slightly hyperthyroid (3).…”

Section: Discussionsupporting

confidence: 75%

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Relationship between serum TSH and the responsiveness of toxic solitary autonomous thyroid nodules to radioiodine therapy

Pedersen‐Bjergaard¹,

Kirkegaard²

1998

European Journal of Endocrinology

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“…However, the fact that we only observed the development of hypothyroidism in patients with detectable serum TSH supports the recommendation to keep patients slightly hyperthyroid (3).…”

Section: Discussionsupporting

confidence: 75%

“…131 I is a well-established therapeutic modality in the treatment of toxic solitary autonomous thyroid nodules (1)(2)(3). A number of different dosage schemes, which take into account goitre volume and thyroid iodine uptake, have been developed in an attempt to minimize the frequency of inappropriate responses (4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Relationship between serum TSH and the responsiveness of toxic solitary autonomous thyroid nodules to radioiodine therapy

Pedersen‐Bjergaard¹,

Kirkegaard²

1998

European Journal of Endocrinology

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“…Essa condição pode ser explicada pela recuperação mais lenta do tecido tiroidiano extranodular após um período prolongado de supressão. Na literatura, a evolução para hipotiroidismo pode ocorrer em 0,3% dos casos, com maior probabilidade naqueles pacientes que apresentam anticorpos antitiroidianos antes da IPE (5,7,32,33).…”

Section: Discussionunclassified

“…Não houve recorrência de tirotoxicose durante o período de observação, resultado que está de acordo com as séries publicadas com seguimento de até 5 anos (5,7,32,33).…”

Section: Discussionunclassified

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Injeção percutânea de etanol no tratamento de nódulos tiroidianos sólidos, císticos e autônomos

Bianchini

Ikejiri

Mamone

et al. 2003

Arq Bras Endocrinol Metab

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RESUMOA injeção percutânea de etanol (IPE) guiada por ultra-som tem sido utilizada para o tratamento de nódulos tiroidianos autônomos, sólidos e cís-ticos. Apresentamos nossa experiência em 50 pacientes tratados, sendo 26 portadores de nódulos sólidos, 17 de nódulos císticos e 7 de nódulos autônomos (NA). Avaliamos os pacientes 1 semana, 1 mês, 3 meses, 6 meses e 1 ano após a IPE. Após 1 ano, os nódulos sólidos reduziram a 74% do volume inicial, os císticos diminuíram 92% sem apresentar recidivas. Um ano após o tratamento dos nódulos autônomos, 5 pacientes estavam em eutiroidismo clínico e laboratorial e 2 em eutiroidismo mas com TSH subnormal. Não houve recorrência da tirotoxicose e a redução nodular foi de 66%. O procedimento foi bem tolerado por todos. Os resultados confirmam que a IPE é uma boa alternativa terapêutica para redução dos nódulos tiroidianos císticos e sólidos e no tratamento dos nódulos autônomos. Percutaneous ethanol injection (PEI) guided by ultrasound has been used for the treatment of cystic, solid and autonomous thyroid nodules. We present our experience in the treatment of 50 patients with thyroid nodules: 26 solid, 17 cystic and 7 autonomous (AN). Patients were evaluated 1 week, 1, 3, and 6 months and 1 year after PEI. After one year, solid nodules showed a mean 74% volume reduction, and cysts a volume reduction of 92%, with no recurrences. After one year, 5 patients with AN reached clinical and laboratory euthyroidism; the other 2 also became euthyroid, but with subnormal TSH. Recurrence of thyrotoxicosis was not observed and mean nodular reduction was 66%. The procedure was well tolerated by all patients. The results confirm that PEI is a good therapeutic alternative for reduction of solid and cystic thyroid nodules and for the treatment of autonomous nodules. (4) propuseram seu uso para o tratamento de nódu-los tiroidianos autônomos hiperfuncionantes e obtiveram regressão anatômica das lesões e cura da disfunção glandular. Na última década,

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The diagnostic accuracy of ultrasound‐guided fine‐needle aspiration biopsy for thyroid nodules three centimeters or larger in size

Üçler¹,

Usluoğulları²,

Tam³

et al. 2015

Diagnostic Cytopathology

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Treatment of the autonomous thyroid nodule: a review

Cited by 78 publications

References 29 publications

Relationship between serum TSH and the responsiveness of toxic solitary autonomous thyroid nodules to radioiodine therapy

Relationship between serum TSH and the responsiveness of toxic solitary autonomous thyroid nodules to radioiodine therapy

Injeção percutânea de etanol no tratamento de nódulos tiroidianos sólidos, císticos e autônomos

The diagnostic accuracy of ultrasound‐guided fine‐needle aspiration biopsy for thyroid nodules three centimeters or larger in size

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