Toxic thyroid adenoma is a benign neoplasm that consists of several individual nodes on her thyroid. Such seals do not affect the functionality of the gland and enable it to continue to produce the desired amount of hormones. Because of this, the adenoma (this form of adenoma is called Plummer’s disease) hard to diagnose her symptoms very similar to symptoms of other thyroid diseases, therefore, to identify the tumor can only be the result of a very careful inspection.
As already noted, adenoma relates to benign tumors, synthesizing and secreting thyroid hormones. The appearance of the nodes associated with the prolonged presence of a large number of tumors. The main feature of toxic thyroid adenoma development tireoidnami hormone that is not peculiar to other formations in the gland, increase the concentration of thyroxine in the blood.
Also toxic adenoma operates independently and does not need the natural functioning of the body. In the blood of the patient it is possible to discover a large number of hormonal and diagnose the reduced level of hormonal activity of the body tissues.
A reduced level of thyroid-stimulating hormone in the blood leads to low activity of the hormones a healthy thyroid. This in turn can cause the formation of hypothyroidism in patients who had undergone surgery for amputation of benign tumors.
Symptoms of toxic thyroid adenoma
Endocrinologist can detect an oval or circular seal in the gland by palpation. Seals well detectable shell, swallowing seals can move. Toxic form of thyroid adenoma does not cause swollen lymph nodes that are located in the cervical spine.
In General, toxic thyroid adenoma symptoms is almost hidden they will not appear for a long time and the patient is not aware of the development of the disease Plummer. In some cases, inactive education can rapidly become active and secrete thyroid hormones.
In such cases, patients can detect fast changes in mood, unusual displays of temper and temperament, increased irritability. In advanced cases, the patient will develop abnormalities in the functioning of the autonomic nervous system, will appear palpitations of a continuing nature (even in sleep), increase blood pressure, tachycardia develops, will begin arrhythmia heart beats.
In the later stages of toxic adenoma of the thyroid gland will be manifested by abdominal pain, impaired liver function, private nausea, frequent diarrhea. In some situations, temperature may rise up to 37,5 degrees, the patient will not be able to endure higher ambient temperature. In some patients dramatically reduces the weight, even while maintaining a good appetite.
Toxic adenoma of the thyroid gland can occur with decompensated and compensated development. In the first case the disease is accompanied by decreasing concentrations of thyroid-stimulating hormone in the blood, the appearance of hyperthyroidism, a decrease in the activity of hormonal secretion and healthy tissues of the body. In the second embodiment adenoma manifests as mild hyperthyroidism with normal thyroid function.
Diagnosing toxic adenoma of the thyroid gland after the inspection
. If palpation is found to be nodes in the neck, your doctor may order additional ultrasound examination, which will be excluded or confirmed the presence of tumor. To identify Plummer’s disease using a blood test for hormones.
To confirm the presence of benign tumors, the doctor may prescribe a biopsy of the thyroid gland. Fine-needle aspiration biopsy is performed using ultrasound device. In the research process will be captured by a small number of tumor cells for laboratory study. So it is possible to determine the toxic form of thyroid adenoma or malignancy.
Plummer’s disease may be detected in the diagnosis of thyroid radioisotope iodine (scintigraphy). This is a very effective research method that allows active tumor from inactive.
Treatment of toxic adenoma of thyroid
Toxic thyroid adenoma treatment can be only surgical. The intervention is carried out in two ways
- complete amputation of the gland
- partial (Subtotal) removal of the gland.
The choice of the type of surgery depends on the disease, the size and nature of the tumor. At the initial stage the thyroid adenoma toxic form, can be suppressed with medication with antithyroid drugs. After the preparative therapy, the need to conduct surgery.
As therapy in the rehabilitation process can be assigned a synthetic hormonal drug, which contains hormones identical to the natural thyroid. If carried out a total clipping of the thyroid gland, the patient will have to take a substitute drug life. It is also important to remember that form of toxic adenoma of the thyroid gland is the most dangerous and in certain cases a benign tumor may become malignant. The time of the conversion can be skipped. This is one reason why surgical treatment is preferred and the only effective method.
If a toxic thyroid adenoma was diagnosed in time, patients remain high chances of complete cure without serious consequences for the organism. It is therefore important when any uncharacteristic signs of the body