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Normale < 20g = 20ml clinique: lobe thyroidien <1re phalange pouce Echo: 1 lobe hxlxl <50x20x20mm

+ Nodules?. Extension endothoracique?. Goitres. Diagnostic étiologique .Goitre   « simple » Goitre secondaires .Basedow .Hashimoto .Cancer totothyroidien. Normale < 20g = 20ml clinique: lobe thyroidien <1re phalange pouce Echo: 1 lobe hxlxl <50x20x20mm. Goitre  « simple ».

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Normale < 20g = 20ml clinique: lobe thyroidien <1re phalange pouce Echo: 1 lobe hxlxl <50x20x20mm

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  1. + Nodules? Extension endothoracique? Goitres Diagnostic étiologique .Goitre   « simple » Goitre secondaires .Basedow .Hashimoto .Cancer totothyroidien Normale < 20g = 20ml clinique: lobe thyroidien <1re phalange pouce Echo: 1 lobe hxlxl <50x20x20mm

  2. Goitre  « simple » Carence en Iode F>M 10 à 50 ans d ’évolution Normale Hyperplasie Hyperplasie micronodulaire Hyperplasie macronodulaire esthétique? gène? toxicité? compression?cancers?

  3. Goitres: Diagnostic extension Clinique +/-échographie +/- Rx Pulm ou TDM sans injection étiologie TSH, Ac TPO +/- Cytoponction (Nodules)

  4. Goitre  « simple »: Traitements Traitement freinateur? Supplémentation iodée? Abstention? Chirurgie Normale Hyperplasie Hyperplasie micronodulaire Hyperplasie macronodulaire

  5. Traitement freinateur 0,01 N - TSH TRH - 23 T 4 TSH I- 5 T3 Tg Thyrotoxicose « infra-clinique » à T4 Fréquence Cardiaque Ostéopénie T4T3 Tissus Cibles

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