Endocrine surgery

Published on 10/04/2015 by admin

Filed under Surgery

Last modified 10/04/2015

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CHAPTER 11 Endocrine surgery

Thyroid

Congenital

Symptoms of thyroid disease

Goitre

A goitre is an enlargement of the thyroid gland (for Classification → Table 11.1).

TABLE 11.1 Classification of goitres

Simple (non-toxic goitre) Simple hyperplastic goitre Multinodular goitre
Toxic goitre Diffuse (Graves’ disease) Toxic nodule (adenoma) Toxic multinodular goitre
Neoplastic goitre Benign:

Malignant:

Inflammatory De Quervain’s thyroiditis
Riedel’s thyroiditis Autoimmune Hashimoto’s thyroiditis

Toxic goitre

This may be a diffuse goitre (Graves’ disease), toxic multinodular goitre or solitary toxic adenoma. In Graves’ disease, TSH receptor antibodies are present. In toxic multinodular goitre, several nodules in a non-toxic goitre begin to function independently of TSH. A solitary toxic nodule functions autonomously. Toxic goitre is six times more common in females.