THYROID GLAND ENLARGEMENT

Author(s):  
R.G. Beard
1996 ◽  
Vol 105 (4) ◽  
pp. 312-316 ◽  
Author(s):  
James D. Williams ◽  
Oleh Slupchinskij ◽  
Anthony P. Sclafani ◽  
Claude Douge

Lingual thyroid gland is a rare clinical entity that is due to failure of descent of the gland anlage early in the course of embryogenesis. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage at any time from infancy through adulthood. We present two illustrative cases of lingual thyroid gland along with a protocol for diagnosis and management of the condition. Elements in the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, and radiographic imaging studies employed in confirming the diagnosis and planning appropriate treatment The natural history of the condition is reviewed and a treatment strategy is outlined that focuses on the use of suppressive doses of thyroid hormone as the initial therapy. Surgical excision of the gland is reserved for more advanced cases of gland enlargement resulting in airway compromise, severe dysphagia that limits oral intake, or ongoing hemorrhage.


2009 ◽  
Vol 15 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Chhavi Chadha ◽  
Marc Pritzker ◽  
Cary Mariash

2012 ◽  
Vol 73 (6) ◽  
pp. 542-545 ◽  
Author(s):  
Cumali Karatoprak ◽  
Ilkay Kartal ◽  
Kadir Kayatas ◽  
Abdulhamit Ozdemir ◽  
Servet Yolbas ◽  
...  

2020 ◽  
Vol 68 (2) ◽  
pp. 147-153
Author(s):  
Aram Saadi ◽  
Bahram Dalir-Naghadeh ◽  
Hamid Akbari ◽  
Mojtaba Rashedi ◽  
Rahim Mohammadi

AbstractAn 11-year-old Hanoverian gelding used for jumping was evaluated for gait abnormalities and hoof problems in the hindlimbs. Clinical examinations revealed signs consistent with shivers. A thyroid gland enlargement was noticed, baseline serum thyroid hormone (TH) concentrations were low, and a low response to thyrotropin-releasing hormone administration was observed. Hypothyroidism was suspected. The horse was treated with levothyroxine for 1 year. TH concentrations returned to the normal range by week 4 of treatment. Thirty weeks after the initiation of levothyroxine therapy, the gait abnormality improved. Our findings suggest that the assessment of thyroid status and especially of the subclinical thyroid gland disorders in horses affected with shivering, as well as evaluation of the effects of levothyroxine on the improvement of clinical signs could be promising in establishing the aetiopathogenesis and/or treatment of shivering in horses.


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Syaugi M. Assagaf ◽  
Nico Lumintang ◽  
Harsali Lampus

Abstract: Goitre is a thyroid gland enlargement due to the increase of thyroid tissue. Goitre can be classified from several aspects: physiological (euthyroidsm, hypothyroidsm, and hyperthyroidism), morphological (diffuse and nodular goitre), and clinical (toxic and non toxic goitre) aspects. Patients with euthyroid goitre have no symptoms because there is no abnormality with the thyroid function. This study aimed to obtain the profile of the non toxic multinodosa goitre patients with euthyroidism in Surgery Department Prof. Dr. R. D. Kandou Hospital Manado period from July 2012 to July 2014. This was a descriptive retrospective study using the medical record of the Surgery Department Prof. Dr. R. D. Kandou Hospital Manado. Of 25 non toxic goitre multinodosa patients, there were 21 (84%) female patient and 4 (16%) male patient. Patients with euthyroidism were 21 cases (84%) and with hypothyroidism 4 cases (16%). Therapy of euthyroid goitre was surgery. The types of surgery for this 25 patient were as follows: 14 (56%) total thyroidectomy, 9 (36%) isthmolobectomy, 1 (4%) nearly total thyroidectomy, and 1 case (4%) subtotal thyroidectomy. Patients with enlargements in the neck should be checked for their thyroid glands and hormones even if they do not have any symptoms, especially if they come from iodine deficiency endemic area.Keywords: goitre, euthyroidAbstrak: Struma adalah pembesaran kelenjar tiroid karena terjadi penambahan jaringan kelenjar tiroid. Struma dapat diklasifikasikan berdasarkan fisiologis (eutirodisme, hipotiroidisme, dan hipertiroidisme), morfologi (struma difus dan nodular) serta berdasarkan klinis (struma toksik dan non toksik). Penderita struma yang eutiroid tidak mempunyai keluhan karena tidak terdapat gangguan fungsi tiroid. Penelitian ini bertujuan untuk mengetahui gambaran pasien struma multinodusa non-toksik yag eutiroid di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2012 – Juli 2014. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan catatan medik di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado. Dari 25 pasien struma multinodusa non-toksik ditemukan bahwa jenis kelamin perempuan sebanyak 21 pasien (84%) dan jenis kelamin laki-laki 4 pasien (16%). Jumlah pasien yang eutiroid sebanyak 21 kasus (84%) dan hipotiroid 4 kasus (16%). Terapi struma eutiroid ialah pembedahan. Dari 25 kasus struma multinodusa non-toksik didapatkan 14 kasus (56%) tiroidektomi total, 9 kasus (36%) istmolobektomi, 1 kasus (4%) tiroidektomi hampir total, dan 1 kasus (4%) tiroidektomi subtotal. Pasien dengan pembesaran di daerah leher sebaiknya langsung dilakukan pemeriksaan kelenjar dan hormon tiroid walaupun tanpa gejala apapun, terutama yang berasal dari daerah endemis kekurangan yodium.Kata kunci: struma, eutiroid


2021 ◽  
Vol 8 (7) ◽  
pp. 218-222
Author(s):  
Banasri Devi ◽  
Rachana Binayke ◽  
Brizellda Dcunha

Background and Objectives: Fine needle aspiration cytology (FNAC) of thyroid offers an alternative, as an immediate, preliminary procedure associated with low cost, little trauma and complications. Being superficial and easily accessible it is an ideal organ for FNAC. It is useful in diagnosis of inflammatory, infectious and neoplastic conditions. The aim of this study was to evaluate the cytomorphological profile of thyroid lesions on FNAC with application of Bethesda system for reporting and perform cyto-histopathology correlation whenever possible with regards to age and sex distribution. Methodology: This two-year prospective study was conducted in the Cytology section of Pathology Department & included 243 cases of thyroid gland enlargement. The detailed history of the patient including age, sex, presenting symptoms and duration of thyroid gland enlargement along with any other significant findings was note. FNAC was performed as per the protocol using a 23-gauge needle and smears stained using Haematoxylin & Eosin (H&E) and Papanicolaou stain, while air-dried smears were stained with Giemsa stain. Results: The study period included a total of 243 FNACs of thyroid enlargement. The age of patients ranged from 10 to 80 years with male to female ratio of 1.4. The diagnosis on FNAC was as follows Colloid Goitre (54.7 %), Lymphocytic Thyroiditis (9.54%), Follicular Neoplasm (7.05%), Hashimoto Thyroiditis (5.80 %), Benign Thyroid Lesions (3.31%) and Multinodular Goitre (2.90%). Conclusion: Thyroid fine needle aspiration cytology has proven to be a first line tool to evaluate the thyroid lesions because of its cost effectiveness and high patient acceptance. Fine needle aspiration cytology is highly successful in triaging patients with thyroid nodules into operative and non-operative groups and enables surgeons to take an early decision regarding mode of treatment. The Bethesda system for reporting of thyroid lesions aims at standardization of reports. It makes the cytology report unambiguous and clinically relevant. Keywords: Fine needle aspiration cytology, thyroid lesions.


JAMA ◽  
1967 ◽  
Vol 200 (2) ◽  
pp. 178-179 ◽  
Author(s):  
G. D. Skalkeas
Keyword(s):  

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