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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).
The goiter in Graves disease is often not nodular, but thyroid nodules are also common. [19] Differentiating common forms of hyperthyroidism such as Graves' disease, single thyroid adenoma , and toxic multinodular goiter is important to determine proper treatment. [ 19 ]
Propylthiouracil (PTU) is a medication used to treat hyperthyroidism. [3] This includes hyperthyroidism due to Graves' disease and toxic multinodular goiter. [3] In a thyrotoxic crisis it is generally more effective than methimazole. [3]
Nodular goitres are either of one nodule (uninodular) or of multiple nodules (multinodular). [14] Multinodular goiter (MNG) is the most common disorder of the thyroid gland. [15] Growth pattern. Uninodular goitre: one thyroid nodule; can be either inactive, or active (toxic) – autonomously producing thyroid hormone.
Thyroid diseases are highly prevalent worldwide, [10] [11] [12] and treatment varies based on the disorder. Levothyroxine is the mainstay of treatment for people with hypothyroidism, [13] while people with hyperthyroidism caused by Graves' disease can be managed with iodine therapy, antithyroid medication, or surgical removal of the thyroid ...
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)
TPP has also been described in people with other thyroid problems such as thyroiditis, toxic nodular goiter, toxic adenoma, TSH-producing pituitary adenoma, excessive ingestion of thyroxine or iodine, [1] and amiodarone-induced hyperthyroidism. [2]
Regular monitoring mainly consists of watching for changes in nodule size and symptoms, and repeat ultrasonography or needle aspiration biopsy if the nodule grows. [8] For patients with benign thyroid adenomata, thyroid lobectomy and isthmusectomy is a sufficient surgical treatment.