Toxic multinodular goiter classification: Difference between revisions
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==Overview== | ==Overview== | ||
Toxic multinodular goiter is classified into three types | Toxic multinodular goiter is classified into three types namely primary, secondary and tertiary hyperthyroidism. Primary hyperthyroidism is further divided into grave’s disease, toxic thyroid nodule, thyroid adenoma, multinodular goiter. Secondary hyperthyroidism is divided into pituitary adenoma, intracranial tumors pressing pituitary gland. Tertiary hyperthyroidism is divided into intracranial tumors or masses involving hypothalamus. | ||
==Classification== | ==Classification== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Toxic multinodular goiter is classified into three types namely primary, secondary and tertiary hyperthyroidism. Primary hyperthyroidism is further divided into grave’s disease, toxic thyroid nodule, thyroid adenoma, multinodular goiter. Secondary hyperthyroidism is divided into pituitary adenoma, intracranial tumors pressing pituitary gland. Tertiary hyperthyroidism is divided into intracranial tumors or masses involving hypothalamus.
Classification
Based on the origin of the abnormality
Based on the origin of the abnormality the lesions may be classified into primary, secondary, and tertiary hyperthyroidism.[1]
| According to the origin of the abnormality | |||||||||||||||||||||||||||||||||||||
| Primary hyperthyroidism | Secondary hyperthyroidism | Tertiary hyperthyroidism | |||||||||||||||||||||||||||||||||||
| • Grave’s disease • Toxic thyroid nodule • Thyroid adenoma • Multinodular goiter | • Pituitary adenoma • Intracranial tumors pressing pituitary gland | • Intracranial tumors or masses involving hypothalamus | |||||||||||||||||||||||||||||||||||
Based on the iodine uptake
Based on the results of iodine uptake, thyroid disorders may be classified into high uptake, high or normal uptake, and low uptake.[2]
| According to iodine uptake | |||||||||||||||||||||||||||||||||||||
| High uptake | High or normal uptake | Low uptake | |||||||||||||||||||||||||||||||||||
| • Toxic multinodular goiter • Graves' disease • Toxic thyroid adenoma | • Iodine caused hyperthyroidism • Hashitoxicosis • Germ cell tumors (choriocarcinoma in males and testicular germ cell tumors) • Pituitary TSH producing adenoma | • Subacute thyroiditis • Hyperthyroidism due to ectopic thyroid tissue • Factitious thyrotoxicosis • Struma ovarii • Painless thyroiditis • Amiodarone induced thyroiditis-Type 1 • Amiodarone induced thyroiditis-Type 2 | |||||||||||||||||||||||||||||||||||
References
- ↑ Monaco F (2003). "Classification of thyroid diseases: suggestions for a revision". J. Clin. Endocrinol. Metab. 88 (4): 1428–32. doi:10.1210/jc.2002-021260. PMID 12679417.
- ↑ [+http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)72981-0/abstract "Thyroid disease classification - The Lancet"] Check
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