Total thyroidectomy results in a rapid, reliable resolution of hyperthyroidism and removal of multinodular goitre
, requires no re-treatment.
'If hypothyroidism is left untreated, It can lead to goitre
, miscarriages, infertility, heart problems and birth defects," Mutuma said.
Surgical approach to retrosternal goitre
: do we still need sternotomy?
- where the entire thyroid gland swells and feels smooth to the touch
A 33-year-old male who was diagnosed with MAS suffered from dyspnoea at bedtime for several months and was diagnosed with giant goitre
at another clinic.
 described a similar patient with a large retrosternal calcified goitre
which has had similar obstructive symptoms.
Indications for surgical treatment were based on jointly accepted criteria used in the clinic, that is, compressive symptoms, progression in goitre
size, and cosmetic reasons.
'Auto-immunity (a failure of the body's immune system) is another common cause of goitre
and thyroid dysfunction.
'A doctor should be consulted urgently if there is a rapid enlarging of goitre
or nodules in the neck as these may indicate thyroid cancer,' Dr Ahsan maintained.
Incidence of cancer in nodular goitres
. Ann Acad Med Singapore 2007;36(4):241-3.
Clinical diagnosis shows 56% were have solitary thyroid nodule, 32% had diffuse thyroid nodule, 6% had multinodular goitre
, and 6% had cystic lesion.
Snedden, "Prevalence and geographical distribution of endemic goitre
," Bulletin of the World Health Organization, vol.