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Column 5. Indication for Surgery of Nodular Goiter

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Treatment of Thyroid Tumor

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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).

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Notes

  1. 1.

    There is no consensus regarding the surgical indication in terms of concrete tumor size and thyroglobulin level among members of the committee. Results of a questionnaire to members about the issue are described here.

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Authors and Affiliations

  1. Department of Organ Regulation Surgery, Fukushima Medical University, School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan

    Shinichi Suzuki

  2. Department of Surgery, Showa University Northern Yokohama Hospital, Yokohama, Japan

    Nobuhiro Fukunari

  3. Department of Diagnostic Pathology, Keio University School of Medicine, Tokyo, Japan

    Kaori Kameyama

  4. Endocrine Center, Toranomon Hospital, Tokyo, Japan

    Megumi Miyakawa

  5. Department of Breast and Thyroid Surgery, Kawasaki Medical School, Kurashiki, Japan

    Katsuhiro Tanaka

  6. Department of Endocrine Surgery, Fujita Health University School of Medicine, Toyoake, Japan

    Yatsuka Hibi

Authors
  1. Shinichi Suzuki
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  2. Nobuhiro Fukunari
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  3. Kaori Kameyama
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  4. Megumi Miyakawa
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  5. Katsuhiro Tanaka
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  6. Yatsuka Hibi
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Corresponding author

Correspondence to Shinichi Suzuki .

Editor information

Editors and Affiliations

  1. Ito Hospital, 4-3-6 Jinguumae, Shibuya-ku, Tokyo, 150-8308, Japan

    Hiroshi Takami

  2. , Department of Surgery, Kuma Hospital, 8-2-35 Shimoyamate-dori, Chuo-ku, Kobe, 650-0011, Japan

    Yasuhiro Ito

  3. Noguchi Thyroid Clinic and Hospital Foun, 6-33 Noguchinaka-machi, Beppu, 874-0932, Japan

    Hitoshi Noguchi

  4. , Department of Breast and Endocrine Surge, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi-ku, Yokohama, 241-8515, Japan

    Akira Yoshida

  5. , Department of Endocrine Surgery, Tokyo Women's Medical University, 8-1 Kawada- cho, Shinjuku-ku, Tokyo, 162-8666, Japan

    Takahiro Okamoto

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© 2013 Springer Japan

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Suzuki, S., Fukunari, N., Kameyama, K., Miyakawa, M., Tanaka, K., Hibi, Y. (2013). Column 5. Indication for Surgery of Nodular Goiter. In: Takami, H., Ito, Y., Noguchi, H., Yoshida, A., Okamoto, T. (eds) Treatment of Thyroid Tumor. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54049-6_21

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  • DOI: https://doi.org/10.1007/978-4-431-54049-6_21

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54048-9

  • Online ISBN: 978-4-431-54049-6

  • eBook Packages: MedicineMedicine (R0)

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