Enlargement of the thyroid gland
Classification on the basis of
Location (cervical vs. substernal)
Morphology (diffuse vs. nodular)
Functional status (hypothyroid, euthyroid, or hyperthy...
Neck swelling, patient or physician noted
Incidental finding on imaging, especially with substernal goiter
Occasional obstructive symptoms
Hyperthyroid—iodine-131 (I-131), antithyroid drugs, and surgery all considered reasonable options. The choice of therapy depends on symptoms, size ...
Ultrasound annually for nodular goiter
TSH annually for euthyroid goiters to detect development of hypothyroidism in thyroiditis or hyperthyroidi...
E01.0 Iodine-deficiency related diffuse (endemic) goiter
E04 Other nontoxic goiter
E05.2 Thyrotoxicosis with toxic multinodular goiter
E04.8 Other specified nontoxic goiter
Treatment of goiter should be based on the risk of malignancy, the function of the gland, and compressive symptoms. Patient preference should also be taken into account, particularly w...
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