Goiter Nontoxic (Simple): Diffuse & Multinodular Tóm tắt về bệnh

Tổng quan

Nontoxic diffuse goiter is thyroid enlargement unrelated to hypothyroidism, hyperthyroidism, inflammation or neoplasia.
It is usually asymptomatic but symptomatic patients may present with painless neck swelling, cosmetic complaints, shortness of breath, sudden increase in goiter size with pain due to hemorrhage, larger goiter causing obstructive signs eg dysphagia, choking sensation and Pemberton's sign.
Diagnosis of exclusion to rule out goiter due to hypothyroidism, hyperthyroidism, autoimmune thyroiditis, invasive fibrous thyroiditis, medications & iodine deficiency or excess.
Subtotal thyroidectomy or near-total thyroidectomy is reserved for euthyroid, substernal, large goiters with compression or progressive obstructive symptoms, malignancy and when other forms of treatment are not applicable to patient.

For further information regarding the management of Goiter Nontoxic (Simple): Diffuse & Multinodular, please refer to Disease Algorithm for the Treatment Guideline.