Goiter

Thyroid Goiter

  • PreOP evaluation
    • 先確定是euthyroid,Nontoxic multinodular goiter 最常見
      • If hyperthyroidism -> 確定有被控制穩定!!
      • -> if uncontrol -> 手術會造成thyroid storm
  • OP indication

    • In Euthyroidism : 緩解壓迫症狀 (呼吸或吞嚥困難)、美觀、排除疑似癌前病變
    • In Hyperthyroidism : 困難控制的甲狀腺亢進 (反覆發作、藥物副作用過大等等)
  • 兩種手術方式供病人選擇:

total -> lifelong thyroxen Subtotal or near-total -> recurrent risks

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