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Giant toxic multinodular goiter with dyspnea: A case report
Sujeethra Alaguvelsamy1, Sachender Pal Singh1, Ravi Ramalingam1
1KKR ENT Hospital & Research Institute, Poonamallee High Road, Kilpauk, Chennai, Tamil Nadu, 600010, India.
International Journal of Surgery Case Reports
|July 22, 2020
Summary
Toxic multinodular goiter (MNG) is a common cause of hyperthyroidism requiring surgery. Total thyroidectomy effectively resolves MNG symptoms and associated obstructive issues.
Area of Science:
- Endocrinology
- Surgical Oncology
Background:
- Toxic multinodular goiter (MNG) is a prevalent cause of hyperthyroidism.
- Obstructive symptoms like dyspnea in MNG necessitate surgical intervention.
Observation:
- A 47-year-old female presented with rapidly enlarging MNG over two years.
- Symptoms included palpitations, exertional breathlessness, tachycardia, and hand tremor.
Findings:
- Computed tomography revealed significant bilateral thyroid enlargement.
- Histopathology confirmed MNG with adenomatous nodules and toxic changes.
- Total thyroidectomy was successfully performed.
Implications:
- Total thyroidectomy is the most effective treatment for symptomatic toxic MNG.
- Surgical management of large goiters requires careful attention to potential complications.
- Timely diagnosis and treatment of MNG prevent mortality.
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