3. 1.
Is the goiter diffuse or
nodular?
2. Is it nontoxic or toxic?
3. Is it causing any local
compressive or cosmetic
problems?
4. Is it benign or malignant?
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6. Colloid
nodule - most common and do
not have an increased risk of
malignancy
Simple cyst
Follicular adenoma - Most follicular
adenomas are benign
Carcinoma
Lymphoma
Thyroiditis
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7. Most
common cause - dietary
iodine deficiency
Impaired
synthesis of thyroid hormone
Compensatory rise in the serum TSH
Hypertrophy and hyperplasia of
thyroid follicular cells
Euthyroid state
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9. With
time, recurrent episodes of
hyperplasia and involution
irregular
enlargement of the thyroid
and nodule formation
thyroid nodule - a lesion in the thyroid
gland due to an abnormal focal growth
of thyroid cells
All
long-standing simple goiters
convert into multinodular goiters
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10. No
physiologic increase
in thyroid volume
Goiter during
adolescence is pathologic
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