The later stages of a simple goiter sometimes present as a nodular goiter. A goiter begins as a diffuse, uniform enlargement, also known as a diffuse goiter, and as the disease progresses, one or more nodules develop as the thyroid enlarges.
Iodine deficiency, excess iodine, ingestion of goiter-causing substances, familial inheritance, congenital defects, and autoimmune abnormalities may all lead to nodular goiter. Nodular goiter can sometimes feel one or more nodules, but no pain. If the enlargement is particularly severe, compressing the nerves and trachea, there will be a feeling of tightness in the larynx, poor breathing, difficulty swallowing, a smaller pupil on one side, a sunken eye on one side, and a drooping eyelid on one side.
Complications caused by nodular goiter:
1. Intranodular hemorrhage. It presents as a sudden lump in the neck with pain, and the enlarged lump becomes smaller after a few weeks.
2. Hyperthyroidism.
3. Thyroid adenomas are generally benign tumors.
4. A small number of nodules will undergo malignant transformation and turn into thyroid follicular carcinoma or anaplastic carcinoma.
For most patients with nodular goiter, as long as there are no obvious compression symptoms, no iodine deficiency, and no hyperthyroidism, doctors are more inclined to choose observational therapy, but regular review is required. Adjust the treatment plan according to the condition.
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