THE CLINICIAN AND THE THYROID

被引:20
作者
BIERSACK, HJ
HOTZE, A
机构
[1] Department of Nuclear Medicine, University of Bonn, W-5300 Bonn 1
来源
EUROPEAN JOURNAL OF NUCLEAR MEDICINE | 1991年 / 18卷 / 09期
关键词
THYROID DISEASES; LABORATORY TESTS; SCINTIGRAPHY; SONOGRAPHY;
D O I
10.1007/BF00956719
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The goiter prevalence in iodine-deficient regions is up to 25%-54%. The most frequent disease in these endemic areas is non-toxic goiter, which is, however, oftentimes connected with autonomously functioning thyroid tissue leading to borderline or overt hyperthyroidism. Other thyroid diseases like cancer, thyroiditis and hypothyroidism play only a minor role in a thyroid clinic, while cases of Graves' disease may be observed more frequently. The most cost-effective tools to evaluate thyroid patients are the hand, ear and mouth of the thyroid clinician. The differential diagnosis of thyroid disorders may be evaluated by a battery of diagnostic tools like in-vitro tests and high performance imaging modalities. Once the diagnosis is established, the appropriate therapeutic procedures (drugs, radioiodine, surgery) have to be chosen. This review should be considered as a guideline for the diagnosis and treatment of thyroid diseases. In addition, special problems concerning elderly patients and pregnant women are discussed, including the differential diagnosis of thyroid diseases.
引用
收藏
页码:761 / 778
页数:18
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