title: [Medical treatment of multinodular goiter].
abstract: Thyroid nodules are among the most common clinical problems in endocrinology. Among several factors responsible for the development of goiter, circulating TSH plays a major role because of its direct growth-promoting effects on the thyroid cells; moreover TSH may enhance the effects of other local growth factors which act in a paracrine mode in the thyroid gland. In addition, autoimmune thyroiditis can clinically appear as thyroid nodules frequently with the functional aspect of a subclinical hypothyroidism. For these reasons a therapeutical approach based on the thyroxine suppression of TSH secretion has become largely used by 1970s and is correctly employed in 75% of the patients with thyroid nodules whose biopsies result benign.
authors.affiliation: Dipartimento di Scienze Endocrinologiche e Metaboliche, Università degli Studi di Genova.
authors.forename: G
authors.initials: G
authors.lastname: Giordano
mesh_terms: D005260:Female; D006044:Goiter, Nodular / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D013963:Thyroid Hormones / Q000378:metabolism; D013972:Thyrotropin / Q000378:metabolism
chemical_list: D013963:Thyroid Hormones; D013972:Thyrotropin