corresponding to the different pathogenesis of autonomous and immunogenetic goiter the following surgical treatment is recommended : enucleation of solitary autonomous adenomas or unilateral lobectomy in case of large adenomas , subtotal bilateral lobectomy in toxic multinodular goiter or , preferentially , unilateral lobectomy combined with subtotal resection of the contralateral thyroid lobe ;
C0018021
goiter
C0040132
thyroid