Endocrine Abstracts

Background: Total thyroidectomy is postulated by many centers as the standard procedure in treatment of benign nodular goiter (BNG) to avoid recurrent goiter (reported 30% and more). In our hospital a wide spectrum of methods regarding extent of resection is performed, adapted to morphology and respecting function.We advocate a variable strategy of operations for BNG (selective thyroid surgery, KOCHER 1917) and report on long-term results.<p class="a...

Background: The thyroid isthmus contains no C-cells, thus we established IPTB for cases with nodular goiter and moderate hypercalcitonemia (stimulated up to 350 pg/ml). In these cases C-Cell-Hyperplasia is the primary pathologic correlate. Exclusion criteria were pre- or intraoperative signs of malignancy.We furthermore established IPTB as a prophylactic operation for patients with hereditary medullary thyroid carcinoma, excluding high-risk mutations.</p...