Endocrine surgery

Published on 10/04/2015 by admin

Filed under Surgery

Last modified 10/04/2015

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 1145 times

CHAPTER 11 Endocrine surgery



Symptoms of thyroid disease


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:


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.