Szintigraphie und Sonographie bei der Diagnostik der Schilddrüsenautonomie: Eine retrospektive Studie an 526 Patienten*
| العنوان: | Szintigraphie und Sonographie bei der Diagnostik der Schilddrüsenautonomie: Eine retrospektive Studie an 526 Patienten* |
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| المؤلفون: | G. Gruber, W. Börner, W. Becker |
| المصدر: | DMW - Deutsche Medizinische Wochenschrift. 111:1630-1635 |
| بيانات النشر: | Georg Thieme Verlag KG, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | endocrine system, medicine.medical_specialty, endocrine system diseases, medicine.diagnostic_test, Adenoma, business.industry, Thyroid, Echogenicity, General Medicine, medicine.disease, Scintigraphy, Thyroid function tests, Palpation, Thyroid carcinoma, medicine.anatomical_structure, medicine, Carcinoma, Radiology, business |
| الوصف: | The place of scintigraphy and ultrasonography in diagnosis was analysed retrospectively in a series of 526 patients with confirmed thyroid autonomy. Male:female ratio was 1:4.6; peak age incidence was in the sixth decade. 5.6% of patients were younger than 30 years and in each case had a sonographic focus. A normal thyroid size was found in 6.5% on palpation and in 10% by ultrasound. Normal thyroid function was found in 287 patients (56%), of whom 48% had a positive TRH test, the remainder being hyperthyroid. Unilocular autonomy was present in 57%, multilocular in the remainder. With increasing degree of autonomy there was an increase in echo-density. In 351 patients (74%) the adenoma was echo-poor, in 16% echo-normal and in 10% echo-dense. Focal findings on sonography were noted in 94% of patients. The incidence of thyroid carcinoma was 1.5% (2 of 136 patients with goitre resection), the carcinoma not being located in the autonomous tissue. It is concluded that a thyroid of normal size does not exclude autonomy. Patients younger than 30 years require scintigraphic examination only if there are focal signs. Echogenicity of a thyroid focus does not correlate with function. The incidence of cancer in the presence of autonomy is low. There was no case of thyroid carcinoma in the autonomous region. |
| تدمد: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1068683 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::4d1c665713c1bdca922f1d037a5df020 https://doi.org/10.1055/s-2008-1068683 |
| رقم الانضمام: | edsair.doi...........4d1c665713c1bdca922f1d037a5df020 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14394413 00120472 |
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| DOI: | 10.1055/s-2008-1068683 |