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An autonomous thyroid nodule or "hot nodule" is one that has thyroid function independent of the homeostatic control of the HPT axis (hypothalamic–pituitary–thyroid axis). According to a 1993 article, such nodules need to be treated only if they become toxic; surgical excision (thyroidectomy), radioiodine therapy, or both may be used. [32]
Toxic multinodular goiter (TMNG), also known as multinodular toxic goiter (MNTG), is an active multinodular goiter associated with hyperthyroidism.. It is a common cause of hyperthyroidism [2] [3] in which there is excess production of thyroid hormones from functionally autonomous thyroid nodules, which do not require stimulation from thyroid stimulating hormone (TSH).
Illustration depicting enlarged thyroid that may be associated with hyperthyroidism. In Graves' disease, ophthalmopathy may cause the eyes to look enlarged because the eye muscles swell and push the eye forward. Sometimes, one or both eyes may bulge. Some have swelling of the front of the neck from an enlarged thyroid gland (a goiter). [19]
The TSHr is expressed on the thyroid follicular cells of the thyroid gland (the cells that produce thyroid hormone), and the result of chronic stimulation is an abnormally high production of T3 and T4. This, in turn, causes the clinical symptoms of hyperthyroidism, and the enlargement of the thyroid gland visible as goiter.
Inactive nodules in the same goitre can be malignant. [17] Thyroid cancer is identified in 13.7% of the patients operated for multinodular goitre. [18] Diffuse goitre: the whole thyroid appearing to be enlarged due to hyperplasia. Size. Class I: the goitre in normal posture of the head cannot be seen; it is only found by palpation.
Thyroid (they can see if it’s too large or small, as well as any nodules) Cervical lymph node chain (they can see inflammation) Lungs and mediastinum (they can see lymph nodes)
Nodular goiter is an enlarged thyroid gland with bumps (nodules) on it. It is associated with both high and low activity of the gland. It is associated with both high and low activity of the gland. Toxic multinodular goitre , also known as multinodular toxic goiter (MNTG)
A possible explanation for the mental symptoms of sub-clinical thyroid disease, might be found in the fact that the brain has among the highest expression of THR's [clarification needed], and that neurons are often more sensitive than other tissues to thyroid abnormalities, including sub-clinical hyperthyroidism and thyrotoxicosis.
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