thyroid enlargement - prince of songkla...
TRANSCRIPT
Contents� Embryology and anomalies
� Anatomy
� Physiology and thyroid function test
� Hyperthyroidism and hypothyroidism
� Thyroiditis
� Goitre
� Solitary thyroid nodule
� Neoplasm
� Complications of thyroid surgery
Nonthyroid in origin� Anatomy
� Skin
� Subcutaneous tissue
� Lymph node
� Muscle
� Blood and lymphatic vessels
� Bone
� Diseases
� Congenital
� Inflammation
� Tumor
� Trauma
� Metabolic
� others
Functional status
� Clinical features
� Serum T3, T4, TSH
�131 I uptake, T3 suppresstion test
� TSH stimulation test
Diagnosis of thyroid diseases� 1. Nontoxic
� Diffuse goiter (simple goiter)
� Solitary nodule
� Multinodular goiter
� 2. Toxic� Diffuse goiter (GravesL disease)
� Solitary nodule (toxic adenoma)
� Multinodular goiter (Plummer disease)
� 3. Hypothyroid� Diffuse, solitary, multinodular
� Hashimoto thyroiditis
� Iatrogenic
Nontoxic diffuse goiter
� Physiologic , endemic, sporadic
� Benign
� Advice , iodine intake, T4 supplement
� Surgery if indicated
Nontoxic solitary nodule
� Important surgical problem
� Differentiate between benign and malignant
� Clinical features, thyroid scan, ultrasound
� FNB
Clinical features
� Family history
� Age < 20 or > 60 years
� Sex
� History of irradiation
� Hoarseness
Clinical features
� Hard and fix mass
� Cervical lymphadenopathy
� Vocal cord paralysis
� Solitary VS multinodular
� Functional status