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11-29-2009, 09:41 AM
COLLOID GOITRE
Definition: Hyperinvolution of the cells when the stress is over.
Pathology:
The gland shows symmetrical enlargement which may attain large size. The Follicles contains large amount of colloid and lined by flat cells.
Clinical Picture:
Usually female after pregnancy or lactation " if sporadic".
Usually between 15: 30 ys. old in endemic areas.
Symmetrical, smooth, soft but huge enlargement .
Complication:
1- Tend to become toxic or nodular.
2- Pressure symptoms are uncommon inspite of the large size ( soft ).
Treatment: Usually " Need subtotal thyroidectomy "
SOURCE: Prof. AYMAN SALEM'S BOOK
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