Case Report: Multiple Nodular Thyroid
DOI:
https://doi.org/10.46799/jhs.v7i2.2810Keywords:
Multiple nodular thyroid, thyroid nodules, total thyroidectomyAbstract
Thyroid nodules are uneven and lumpy enlargements of the thyroid gland, with a prevalence of approximately 8% in the adult population and occurring more frequently in women. This case report aims to describe the evaluation and management of patients with multiple nodular thyroid. A case of a 36-year-old female patient who presented with a complaint of a neck lump that had been slowly enlarging for several months—from the size of a marble to that of a ping pong ball—is reported. The lump was palpable, solid, and painless, without symptoms of hyperthyroidism or obstruction. Physical examination revealed thyroid gland enlargement with a solid consistency. Complete blood count and HBsAg laboratory results were within normal limits. The patient was diagnosed with multiple nodular thyroid and underwent total thyroidectomy. The surgery was performed successfully without complications. Multiple nodular thyroid is generally benign but requires careful evaluation to rule out the possibility of malignancy. Definitive management through total thyroidectomy provided good outcomes in this case.
References
Al-Saig, T. H., Modhar, S., & Muna, Z. (2011). Non toxic goiter: Cytology, histological analysis: A study in Mosul. Iraqi Journal of Community Medicine, 24(4).
Dong, X., Li, Y., Xie, J., Li, L., Wan, Z., Kang, Y., Luo, Y., Wang, J., Duan, Y., & Ding, S. (2022). The prevalence of thyroid nodules and its factors among Chinese adult women: A cross-sectional study. Frontiers in Endocrinology, 13, 967380.
Gardner, D. G., & Shoback, D. (2011). Greenspan’s basic & clinical endocrinology (9th ed.). McGraw-Hill.
Goyal, P., & Kumawat, K. (2025). Where ENT meets endocrine: Uncovering hidden presentations of thyroid disease. Endocrinology & Metabolism International Journal, 13(3), 93–98.
Guo, X., & Yang, Y. (2025). Low-profile transmissive metasurface for generating the butterfly-shaped beam. In 2025 6th Australian Microwave Symposium (AMS) (pp. 1–2).
Guyton, A. C., & Hall, J. E. (2012). Buku ajar fisiologi kedokteran (Edisi 11). Penerbit Buku Kedokteran EGC.
Kinoshita, M., & Arikawa, K. (2026). Vision in flower foraging butterflies: From functional organization of the retina to encoding in the brain. Journal of Experimental Biology, 229(Suppl_1), jeb251214.
Marshall, G. F. L., & de Nicéville, L. (2024). The butterflies of India, Burmah and Ceylon: Vol. I. BoD–Books on Demand.
Mnatsakanian, A., & Al Khalili, Y. (2023). Anatomy, head and neck, thyroid muscles. In StatPearls. StatPearls Publishing.
Moore, K. L., & Agur, A. M. R. (2007). Essential clinical anatomy (3rd ed.). Lippincott Williams & Wilkins.
Mu, C., Ming, X., Tian, Y., Liu, Y., Yao, M., Ni, Y., Liu, Y., & Li, Z. (2022). Mapping global epidemiology of thyroid nodules among general population: A systematic review and meta-analysis. Frontiers in Oncology, 12, 1029926.
Mulinda, J. R. (2014). Goiter. Medscape. http://emedicine.medscape.com/article/120034-overview
Rao, S. S., Rao, H., Moinuddin, Z., Rozario, A. P., & Augustine, T. (2023). Preservation of parathyroid glands during thyroid and neck surgery. Frontiers in Endocrinology, 14, 1173950.
Seiwert, C. (2024). Endocrine system. In Human Biology.
Sjamsuhidayat, R., et al. (2013). Buku ajar ilmu bedah (Edisi 3). Penerbit Buku Kedokteran EGC.
Tran, Q.-L., & Davies, L. (2023). Thyroid cancer incidence differences between men and women. Current Opinion in Endocrine and Metabolic Research, 31, 100472.
Vatavu, R., Sava, A., Dumitrescu, A.-M., Dumitrescu, G. F., Stan, C. I., Mereuţă, A., & Rădulescu, A.-M. (2024). Exploring the anatomy of the thyroid gland. Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology, 23(2).
Zhu, Y., Tong, M., Wang, Y., Liu, Y., Wang, B., Yang, W., & Ning, Y. (2022). Prevalence of thyroid nodules and its association with water iodine among Chinese men and women. Environmental Research, 212, 113270.
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