Differential diagnosis of Thyroid swelling

A Thyroid swelling is recognised by its position, its shape and by the fact that it moves upwards during deglutition.

The term "goitre" denotes here any enlargement of thyroid gland irrespective of its pathology. It is best classified as:-

• Non-Toxic goitre(simple goitre)-

  • 1. Diffuse parenchymatous

    2. Colloid

    3. Multinodular

    4. Solitary Nodular

• Toxic goitre-

  • 1. Diffuse (Graves' disease)

    2. Multinodular

    3. Toxic nodule (Solitary nodular)

• • Neoplastic-

    1. Benign

    2. Malignant

• Thyroiditis-

  • 1. Acute Bacterial

    2. Granulomatous

    3. Autoimmune

    4. Riedel's

    5. Chronic bacterial from tuberculosis or syphilis

• Other rare types-

  • 1. Amyloid goitre