Affiliation:
1. The Royal Infirmary, Sheffield
2. Hallamshire Hospital
3. University of Sheffield Medical School
Abstract
Abstract
The incidence of solitary toxic adenoma of the thyroid in a general surgical unit with an interest in thyroid disease has been reviewed over a 15-year period. Six hundred and thirty thyrotoxic cases were treated surgically, 35 (5.6 per cent) having a solitary toxic adenoma. Thyroid enlargement or toxicity had been present for more than 5 years in 7 patients (20.0 per cent). Cardiovascular complications were present in 6 cases (17.1 per cent).
Thyroid lobectomy resulted in 30 (85.7 per cent) euthyroid and 5 (14.3 per cent) hypothyroid patients. One toxic adenoma contained a focus of carcinoma. The clinical features, diagnosis and management of solitary toxic adenoma, and the management of symptomatic nodules which are ‘hot’ but not biochemically toxic, are discussed.
Publisher
Oxford University Press (OUP)
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