Abstract
Key Clinical MessageLarge multinodular goiters, obvious to the naked eye, are rarely confronted by clinicians nowadays; yet they do have a place in the differential diagnosis of the neck masses. Due to the fact that 80% of the neck masses in adults are related to malignancy, the later should be ruled out.
Highlights
Given that the patient had never been exposed to any goitrogens, could you justify the origin of the nontoxic multinodular goiter (NMG)?
In countries with previous deficiency corrected by salt iodination, elderly may have an incidence of 10% of nodular and multinodular goiter, due to lack of nutritional iodine in early life, compared with ~4% in countries without previous dietary iodine deficiency [2]
SSP: wrote the first draft of the manuscript and all authors revised it critically and approved the final version to be published
Summary
Received: 3 September 2016; Revised: 2 October 2016; Accepted: 18 November 2016 A 69-year-old woman living in a village in Thessaly, Greece, was hospitalized for acute lower respiratory infection. She was found with a hard, painless, nodular yet asymptomatic neck mass. The trachea was midline and there was no intrathoracic extension of the mass.
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