Medicinski vjesnik, Vol. 19 No. (1-2), 1987.
Review article
On the autonomus thyroid adenoma
Juraj Smoje
Branka Vizner
Abstract
According to the recent attitudes, an autonomous thyroid adenoma (AAT) is probably of the same origin as a polyadenomous goiter (struma nodosa toxica) and a goiter with a disseminated microadenomatosis. It is strongly suggested that the development of AAT depends upon the stimulation by thyrotrophin and import washin in endemic goiter. Histologically the AAT does not differ from a benign folicullar adenoma. The basic criterion in diagnostics for AAT is still the scyntigramme of the thyroid. To the battery of classical tests as a proof of an autonomous nodule, so as injudgement of actual metabolic status, the TRH test, ultrasound and quantitative scyntigramme of AAT have been added recently. The therapy of AAT is surgical for younger patients, and radioiodine for the older ones. After application of radioiodine the increasing risk of development of thyroid cancer has not been proved so far.
Keywords
Hrčak ID:
197354
URI
Publication date:
1.12.1987.
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