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A goitre, or goiter, is a swelling in the neck resulting from an enlarged thyroid gland. [1] [2] ... these symptoms are often non-specific and make diagnosis difficult.
Toxic multinodular goiter (TMNG), also known as multinodular toxic goiter (MNTG), is an active multinodular goiter associated with hyperthyroidism.. It is a common cause of hyperthyroidism [2] [3] in which there is excess production of thyroid hormones from functionally autonomous thyroid nodules, which do not require stimulation from thyroid stimulating hormone (TSH).
Graves' disease, also known as toxic diffuse goiter or Basedow’s disease, is an autoimmune disease that affects the thyroid. [1] It frequently results in and is the most common cause of hyperthyroidism . [ 5 ]
Colloid nodules, also known as adenomatous nodules [1] or colloid nodular goiter [2] are benign, noncancerous enlargement of thyroid tissue. [3] Although they may grow large, and there may be more than one, they are not malignant and they will not spread beyond the thyroid gland. Colloid nodules are the most common kind of thyroid nodule. [4]
Measurement of thyroid stimulating hormone and anti-thyroid antibodies will help decide if there is a functional thyroid disease such as Hashimoto's thyroiditis present, a known cause of a benign nodular goitre. [4] Fine needle biopsy for cytopathology is also used. [5] [6] [7] Thyroid nodules are extremely common in young adults and children.
Diagnosis is confirmed with blood tests for TSH, Thyroxine (T 4), antithyroid autoantibodies, and/or ultrasound. [3] Other conditions that can produce similar symptoms include Graves' disease and nontoxic nodular goiter. [6]
Diagnosis starts with a history and physical examination. Screening for thyroid disease in patients without symptoms is a debated topic although commonly practiced in the United States. [ 8 ] If dysfunction of the thyroid is suspected, laboratory tests can help support or rule out thyroid disease.
A positive Pemberton's sign is indicative of superior vena cava syndrome (SVC), commonly the result of a mass in the mediastinum.Although the sign is most commonly described in patients with substernal goiters where the goiter "corks off" the thoracic inlet, [4] the maneuver is potentially useful in any patient with adenopathy, tumor, or fibrosis involving the mediastinum.