caa a22 4500 475753607 CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070084 doi (NATIONALLICENCE)springer-10.1007/s005950070084 Management of nodular goiters and their operative indications [Elektronische Daten] [Takao Kunori, Humiaki Shinya, Takahiro Satomi, Michio Abe, Shinya Kawaguchi, Hiroshi Honda, Shigeyuki Asano] It remains controversial whether or not nodular goiters should be treated surgically or conservatively. This report reviews our 9-year experience of treating nodular goiters in 334 patients, 44 of whom underwent surgery, and compares the methods of treatment employed from 1990 to 1999 with those employed from 1971 to 1989 when 171 operations were carried out. In accordance with diagnoses made using fineneedle aspiration biopsy (FNAB) and ultrasonography, patients were treated as follows. Those with cysts were given percutaneous ethanol injection therapy (PEIT), and those with solid tumors underwent surgery if cancer of >class 3 was suspected or if the tumors were >3cm. Consequently, 44 patients with solid tumors underwent surgery and 72 with cysts were treated by PEIT. The number of operations performed annually decreased to half of the pre-1990 figure. During the follow-up of those patients who did not undergo surgery, four with solid tumors and two with cysts later required surgery due to suspected carcinoma of > class 3 in 3 patients or as a result of personal choice in 3 patients. The growth of solid tumors was not able to be measured in most cases. These results indicate that the number of operations performed for nodular goiters can be reduced by PEIT. An accurate cytological diagnosis supports this therapeutic strategy. Springer-Verlag, 2000 Thyroid tumor nationallicence Nodular goiter nationallicence Operative indication nationallicence Kunori Takao Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Shinya Humiaki Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Satomi Takahiro Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Abe Michio Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Kawaguchi Shinya Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Honda Hiroshi Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Asano Shigeyuki Department of Pathology, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut Surgery Today Springer-Verlag 30/8(2000-08-01), 722-726 0941-1291 30:8<722 2000 30 595 https://doi.org/10.1007/s005950070084 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070084 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kunori Takao Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Shinya Humiaki Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Satomi Takahiro Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Abe Michio Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Kawaguchi Shinya Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Honda Hiroshi Department of Surgery, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 700 1- Asano Shigeyuki Department of Pathology, Iwaki-kyoritsu Hospital, Iwaki-shi, 973-8402, Uchigo, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 722-726 0941-1291 30:8<722 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer