Clinical Presentation of Euthyroid Goiter

  • Patients present with a painless lump and are often unsure as to its duration:
    • The increased size of the goiter can lead to symptoms related to pressure effects on adjacent structures such as:
      • Dysphagia (from pharyngeal and/or esophageal compression)
      • Globus sensation
      • Hoarseness (from laryngeal or recurrent laryngeal nerve compression)
      • Shortness of breath (from tracheal deviation and compression)
  • An incidental thyroid nodule (ITN) is one of the most common incidental findings on imaging studies that include the neck:
    • Guidelines have been developed to assist the medical provider in deciding when and how to investigate ITN

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