Goiter Nontoxic

Question: TSH level in nontoxic multinodular goiter? suppressed, normal or increased?

Answer: Should be normal or increased. More commonly increased as that will result in hyperplasia.

Question: Thyroid Ultrasound? I have a goiter! Help!? I have a nontoxic multinodular goiter. It is 5mm thick and it's solid. It says on my report. A 7 mm X 5mm X 4mm solid, ill-defined hypoechoic nodule is identified within the anterior mid pole. My blood tests come out normal. What could this be? My biggest fear is cancer. What do you think?

Answer: The hypoechoic solid nodule has 22 % chance of being cancerous, IF it is larger then 1 cm; nodules smaller then 1 cm are usually watched for growth; if it grows rapidly, biopsy is performed on it.

Question: hyperthyroidism mcq from step 1? A 45-year-old woman presents to her physician because of a severe "sore throat." Physical examination demonstrates fever and an extremely tender, enlarged thyroid gland, but no throat erythema. Serum thyroid studies demonstrate a mild degree of hyperthyroidism. Two months later, the patient is asymptomatic, and thyroid function tests have returned to normal. She never again experiences difficulty with her thyroid function. Which of the following was the most likely cause of her hyperthyroidism? A. Diffuse nontoxic goiter B. Graves disease C. Hashimoto thyroiditis D. Subacute granulomatous thyroiditis E. Subacute lymphocytic thyroiditis

Answer: The answer is D. This patient most likely has subacute granulomatous (de Quervain's) thyroiditis, which frequently develops after a viral infection. Microscopically, it is characterized by microabscess formation within the thyroid, eventually progressing to granulomatous inflammation with multinucleated giant cells. Clinically, patients may experience fever, sudden painful enlargement of the thyroid, and/or symptoms of transient hyperthyroidism. The disease usually abates within 6 to 8 weeks.

Question: Thyroid Ultrasound? I have a goiter! Help!? I have a nontoxic multinodular goiter. It is 5mm thick and it's solid. It says on my report. A 7 mm X 5mm X 4mm solid, ill-defined hypoechoic nodule is identified within the anterior mid pole. My blood tests come out normal. What could this be? My biggest fear is cancer. What do you think?

Answer: Has it begun to show in your neck as a protrusion? I had the same thing years ago. Mine was removed. I waited longer than the Dr wanted because I was scared too. I wished I hadn't. It ended up being a tumor, benign, but it wrapped itself completely around my parathyroid gland which had to be removed and half way around my thyroid gland and esophagus. Thank God he didn't have to remove my thyroid. Don't worry, goiter are almost always non-cancerous. But don't do what I did and wait. Has your Dr mentioned removing it yet? If he has, jump on it. These things can spread and grow and wrapped themselves around other things in your neck and throat. I couldn't sleep on my back because I felt like I was being chocked all the time. It was the tumor pressing against my windpipe. You'rs is a pretty good size. You will be put on medication of course. Let me know if surgery is planned. Most important, don't wait if he says surgery and don't be scared. I'll help you get through this all you want. Be blessed.