Thyroid adenoma overview: Difference between revisions
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==Treatment== | ==Treatment== | ||
===Medical Therapy=== | |||
The mainstay of therapy for thyroid adenoma is supportive therapy and regular monitoring. | |||
===Surgery=== | ===Surgery=== | ||
Thyroid lobectomy is recommended for all patients who develop pressure symptoms of thyroid adenoma. | |||
===Prevention=== | ===Prevention=== | ||
There is no established method for prevention of thyroid adenoma. | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
Revision as of 13:13, 12 October 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
- This section is the general overview statement for the disease. It should include the name of the main page in the first sentence.
- This section will be an overview statement of all the overview statements below it.
- It should not contain any synonyms or keywords (as these should be at the top of the page listed next to Synonyms and keywords:).
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Historical Perspective
Thyroid adenoma was first discovered by Fabricious, in 1619 when he described that thyroid enlargement causes mid line neck swelling
Classification
Thyroid adenoma may be classified according to histology into 3 subtypes/groups: follicular adenoma, papillary adenoma, and signet cell adenoma.
Pathophysiology
Thyroid adenoma arises from epithelial cells of thyroid gland, that are normally involved in secretion of thyroxine hormone. The most common gene involved in the pathogenesis of thyroid adenoma is THADA gene.
Causes
Common causes of thyroid adenoma include iodine deficiency, chronic inflammation, and genetic mutation of THADA gene
Differentiating thyroid adenoma from other Conditions
Thyroid adenoma must be differentiated from other thyroid disorders such as [[multinodular goiter, grave's disease, Hashimoto's disease, medullary cell carcinoma, De Quervain's thyroiditis, thyroid lymphoma, and acute suppurative thyroiditis.
Epidemiology and Demographics
The incidence of thyroid adenoma is estimated to be 9 million cases annually in United States. Females are more commonly affected with thyroid adenoma than males.
Risk Factors
Common risk factors in the development of thyroid adenoma are family history, exposure to radiation, lack of iodine in diet, smoking, and Hashimoto’s thyroiditis.
Natural History, Complications and Prognosis
Depending on the extent of the tumor at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as excellent.
Diagnosis
History and Symptoms
The hallmark of thyroid adenoma is swelling infront of neck. A positive history of radiation exposure and family history of thyroid adenoma is suggestive of thyroid adenoma. The most common symptoms thyroid adenoma include cough and hoarseness of voice.
Physical Examination
Patients with thyroid adenoma usually appear normal. Physical examination of patients with thyroid adenoma is usually remarkable for solitary non tender nodule in the midline of neck, which is smooth, soft, and mobile.
Laboratory Findings
Laboratory findings consistent with the diagnosis of thyroid adenoma include decreased thyroid stimulating hormone, elevated calcitonin, and decreased calcium.
Ultrasound
On ultrasound, thyroid adenoma is characterized by halo sign or smooth margin of thyroid, hyperechoic nodules, and normal reactive cervical nodes.
Other Imaging Findings
Other diagnostic studies for thyroid adenoma include thyroid scan, which demonstrates hot, cold, and functioning nodule.
Biopsy
Fine needle aspiration biopsy may be helpful in diagnosis of thyroid adenoma. Findings on fine needle aspiration biopsy suggestive of thyroid adenoma include cystic changes, fibrosis, and areas of hemorrhage.
Treatment
Medical Therapy
The mainstay of therapy for thyroid adenoma is supportive therapy and regular monitoring.
Surgery
Thyroid lobectomy is recommended for all patients who develop pressure symptoms of thyroid adenoma.
Prevention
There is no established method for prevention of thyroid adenoma.