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Toxisk multinodös struma

Toxisk multinodös struma/Toxiskt adenom Ett eller flera autonomt fungerande partier med överproduktion av thyroideahormon. Vanligaste orsaken till hypertyreos hos äldre. At the time the article was last revised Mohammad Taghi Niknejad had no financial relationships to ineligible companies to disclose. Multinodular goiter MNG is defined as an enlarged thyroid gland i. When increased activity and hyperthyroidism are present then the condition is referred to as a toxic multinodular goiter or Plummer disease.

Multinodular goiter has been criticized as being a somewhat unhelpful term as some multinodular thyroids are not enlarged, resulting in the unwieldy term "multinodular non-enlarged thyroid" 7.

Thyrotoksikose

Patients are usually euthyroid, but the nodules may also be hypo- or hyperfunctioning, resulting in systemic symptoms from hypothyroidism or hyperthyroidism, respectively. Multinodular goiters develop from simple goiters as a result of repeated instances of stimulation and involution 4. A nodule in multinodular goiter may harbor malignancy. A family history of malignancy and prior neck radiation exposure are known risk factors 2.

  • Struma hosta Autonom: Toxisk multinodös struma (Plummer´s) Toxiskt autonomt nodulus; Inflammatorisk förändring; Adenom; Cancer; Metastas.
  • Atoxisk struma symtom Toxisk multinodulär struma.
  • Atoxisk struma behandling Definition Toxisk multinodulär struma (TMS) är diffus förstorad thyreoidea där autonomt arbetande partier ger förhöjd hormonproduktion och leder till hypertyreos Epidemiologi TMS är, efter Mb Graves, näst vanligaste orsaken till hypertyreos i västvärlden ( % av fall av hypertyreos).
  • Struma operation Ultralydsscanning af halsen viser nodøs struma (evt.


  • toxisk multinodös struma


  • Sonography remains the first radiological investigation to screen the nodules and look for any suspicion of malignant change in the nodules which is not uncommon. It is important to screen for the presence of malignant features if any in any of the nodules and subsequent FNA can be done from the suspicious nodule. See main article assessment of thyroid lesions for further details. Treatment of multinodular goiter may be pursued if the thyroid is hyperfunctioning, or if the goiter is causing local mass effect.

    There is no standard treatment and choice of treatment depends on local practice patterns, the activity of the goiter, and the results of FNA of any suspicious nodules. Conservative management is also an option as some goiters decrease their rate of growth or may even decrease in size 6. Updating… Please wait. Unable to process the form.

    Multinodulär Struma, Toxisk

    Check for errors and try again. Thank you for updating your details. Recent Edits. Log In. Sign Up. Become a Gold Supporter and see no third-party ads. Log in Sign up. Articles Cases Courses Quiz. About Recent Edits Go ad-free. Edit article. Citation, DOI, disclosures and article data. Multinodular goiter. Reference article, Radiopaedia. Article created:. At the time the article was created Ayush Goel had no recorded disclosures.

    View Ayush Goel's current disclosures. Last revised:. View Mohammad Taghi Niknejad's current disclosures. On this page:. Approach to the Patient with Nontoxic Multinodular Goiter. Risk Factors for Malignancy in Multinodular Goitres. Evaluation and Management of Multinodular Goiter. Otolaryngol Clin North Am. Richard N. Mitchell, Vinay Kumar, Abul K. Abbas et al. BioMed Research International. Clin Endocrinol.

    Anil T.