Surgery in Hyperthyroidism: Toxic Adenoma and/or Multinodular Goiter

  • Türkay KırdakEmail author


Toxic multinodular goiter is observed in areas of endemic iodine deficiency and commonly in elderly individuals. Diagnosis and assessment are made easily by physical examination, serum thyroid function tests, ultrasonography, and scintigraphy. The disease presents with subclinical hyperthyroidism in a significant part of the patients. Radioactive iodine therapy and surgery are two basic treatment methods of the disease with specific advantages and disadvantages. Selection of the treatment method is made upon factors about the disease, patient, and physician. This paper presents a case with toxic nodular goiter and discusses treatment options.


Hyperthyroidism Toxic multinodular goiter Toxic adenoma Surgery Thyroidectomy 


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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Endocrine Surgery, Department of SurgeryUludag University Faculty of MedicineBursaTurkey

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