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Differential diagnosis of simple goiter
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Dr. Karen Kim, MD
1127 Wilshire Blvd Ste 403Los Angeles, CA 90017 Internal Medicine
Expert Medical Information
Simple goiter refers to the enlargement of the thyroid gland caused by the proliferation of thyroid epithelial cells due to non-inflammatory and non-neoplastic reasons, without clinical abnormalities in thyroid function. The thyroid gland is where thyroid hormones are synthesized, and simple goiter accounts for about 5% of the normal population, with the incidence in women being 3 to 5 times higher than in men.
During ultrasound examination, the thyroid gland shows varying degrees of enlargement, but blood tests for thyroid function, including TT3, TT4, free T3, free T4, and thyroid-stimulating hormone (TSH) secreted by the hypothalamus and pituitary gland, all fall within the normal range. Therefore, there are no clinical symptoms of hyperthyroidism or hypothyroidism, only the presence of thyroid enlargement. This type of thyroid enlargement is referred to as simple goiter.
Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.