[Surgical resection of the thyroid and parathyroid glands].
The main indication for surgery of the thyroid gland is the resection of nodular, suspicious or hyperfunctioning tissue. Following thyroidectomy, L-thyroxine therapy is initiated adjusted to the remnant thyroid function. To prevent recurrence of a multinodular goiter, supplementation with iodine is strongly recommended. The management of patients with differentiated thyroid cancer depends on risk stratification. Although large prospective studies are missing, low-risk patients probably do not benefit from total thyroid ablation and lifelong thyroxine suppression therapy. As a result of impaired parathyroid function or resection of the parathyroid glands for hyperparathyroidism, acute or chronic hypocalcaemia can develop. If treatment with oral calcium is insufficient, the addition of a vitamin D analogue is necessary. This requires close monitoring to avoid renal or other hypercalcaemic complications.
Woenckhaus
U
U
Klinik und Poliklinik für Innere Medizin I, Klinikum der Universität Regensburg, 93042 Regensburg, Germany. ulrike.woenckhaus@klinik.uni-regensburg.de
Büttner
R
R
Bollheimer
L C
LC
D006042:Goiter / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000517:prevention & control*; D006996:Hypocalcemia / Q000209:etiology / Q000517:prevention & control*; D007455:Iodine / Q000627:therapeutic use*; D016105:Parathyroidectomy / Q000009:adverse effects*; D013965:Thyroidectomy / Q000009:adverse effects*; D013974:Thyroxine / Q000627:therapeutic use*
D007455:Iodine; D013974:Thyroxine