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TOXIC ADENOMA

Endocrinology

TOXIC ADENOMA

1. Benign area of autonomous hyper-functioning thyroid tissue.
2. Check TSH, RAIU, scintigraphy.
3. DDx - Graves disease, thyroiditis, toxic MNG, iatrogenic (thyroxine), excess iodine (amiodarone).
4. Tx with RAI or surgery.
5. Anti-thyroid drugs do not work in the long-term.
6. Percutaneous ethanol injection of nodules is an alternative.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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