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Goiter ( Neck Enlargment ) On Examination (Single Nodule (Toxic (No Need…
Goiter
( Neck Enlargment )
On Examination
MultiNodular Goiter
Non-Toxic
Due to Long Standing Simple Goiter ,
Toxic ( Plummer Disease )
5% Malignancy Rate
Diffuse Goiter
Toxic
Low TSH , And High T4
Graves Disease
Functioning Pitutary Adenoma
(Not HyperThyroid ) Non-Toxic
Simple Goiter - EuThyroid
early Due to Thyroid Hormone Diffency Leading to Excssive TSH and HyperPlasia
Sporadic
Pregnancy or Pupertiy
Endemic
Due to Iodine Deficiency
May be Preminant After 5 Years
With Time it Will Progress into MultiNodular Goiter
Treatment
Pressure Symptoms = Surgery
Asymptomatic = Iodine Foods and Reassurance
Thyrodititis (HypoThyroid )
Hasshimatos Thyrodititis
Diffused , Enlarged , Non-Tender
Ridels Thyroditits
Diffuse , Stony Hard ,Non-Tender
Bacterial Thyroditits
First Phase is HyperThyrodism , Second Phase is HypoThyrodism
De-Quiverin Thyroditits
Diffuse , Very Tender , Rapid Enlargment
Single Nodule
Toxic
No Need For FNA Because
Because Most Malignancy is Non-Functioning
Confirmed by RadioNuclide Test
Follicular Adenoma
Non-Toxic
Must Do FNA ( Because Most Malignancy is Non-Functioning )
Follicular Adenoma
Always Must Be Exisonal Biopsy
First We Do TSH if its Low We Confirm it as Toxic By RadioNucluide Test , if Normal or High then Non-Toxic
80% Adenoma ,10 % Carcinoma , 10% Cyst or Thyrodititis ETC
Thyroid Cancer Usually UniNodular
95 % Bengine , 5% in Women , 1% in Men