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Column 5. Indication for Surgery of Nodular Goiter

  • Shinichi Suzuki
  • Nobuhiro Fukunari
  • Kaori Kameyama
  • Megumi Miyakawa
  • Katsuhiro Tanaka
  • Yatsuka Hibi
Chapter

Abstract

Nodular goiter indicates an enlarged thyroid by solitary or multiple nodules in the normal thyroid. In a broader definition, this includes malignant nodules, but it normally refers to benign or indeterminate nodules. Their indications for surgery have been presented variously in textbooks and reviews, but none of them are based on manifest evidence. Solitary nodular goiters due to follicular tumor and adenomatous goiter are often encountered in daily medical practice, but their indications for surgery are individually decided by each institution. In this committee, consensus was obtained about the standards of consultation for surgical indication of nodular goiter from non-surgeons to surgeons. However, the final decision for surgery should not be based on whether nodules meet any one criteria, but should be reasoned in a comprehensive manner (Figs. 1 and 2).

Keywords

Broad Definition Normal Thyroid Multiple Nodule Surgical Indication Large Nodule 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Shinichi Suzuki
    • 1
  • Nobuhiro Fukunari
    • 2
  • Kaori Kameyama
    • 3
  • Megumi Miyakawa
    • 4
  • Katsuhiro Tanaka
    • 5
  • Yatsuka Hibi
    • 6
  1. 1.Department of Organ Regulation SurgeryFukushima Medical University, School of MedicineFukushimaJapan
  2. 2.Department of SurgeryShowa University Northern Yokohama HospitalYokohamaJapan
  3. 3.Department of Diagnostic PathologyKeio University School of MedicineTokyoJapan
  4. 4.Endocrine CenterToranomon HospitalTokyoJapan
  5. 5.Department of Breast and Thyroid SurgeryKawasaki Medical SchoolKurashikiJapan
  6. 6.Department of Endocrine SurgeryFujita Health University School of MedicineToyoakeJapan

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