Influence of Thyroid Hormones on the Woundhealing Process
Influence of Thyroid Hormones on the Woundhealing Process
Main goal of this clinical investigation is to investigate different cytokines in wound
 fluids of euthyroid vs. hypothyroid patients. As a primary endpoint we want to evaluate if
 different cytokine levels in euthyroid vs. hypothyroid patients exist and to what extent
 these cytokines differ. Our targeted cytokines are: IL6, IL10, TNFa and MCP-1. From the
 literature these 4 factors seem to be the most reasonable to measure and to focus on.
 Additionally we focus on these 4 factors for financial reasons, technically there wouldn't be
 a problem to measure more, which is correlated with higher costs. Besides, more than 6
 factors would mean larger amounts of sample fluids needed, which would cause technical
 problems. These factors don't have to change in the same direction. Secondarily, we believe
 that differences in cytokine profiles of hypothyroidism vs. euthyroidism will correlate to
 differences in duration and clinical characteristics of the wound healing process.
Inclusion Criteria:

 -  Near total or total thyroidectomy because of struma multinodsa (nodular goiter) with
 or without substitution of thyroid hormone after operation

 -  Total thyroidectomy because of papillary carcinoma of thyroid gland (T1/T2 carcinoma,
 N1, M0) with planned radio-ablative therapy (RAT) without or with rhTSH

 Exclusion Criteria:

 -  Pat< 18 years

 -  Immune disease of thyroid gland (Graves disease)

 -  Severe immunodeficiency

 -  Immunosuppressive medication because of solid Organ transplantation

 -  Hepatitis A/B/C or HIV

 -  All exclusion criteria for any surgical procedure