Abstract

This article reviews those pathologic lesions which are associated with clinical and/or biochemical hyperthyroidism. Beginning with the descriptive pathology of classical Graves' disease and the less common toxic nodular goiter and hyper-functioning thyroid nodules, this paper describes the effects of non-thyroidal hormones, glandular function (including pituitary and hypothalamic lesions), ectopic production of thyroid stimulating proteins by non-thyroidal neoplasms, exogenous drug reactions causing hyper-function and finally conditions associated with a mechanic- destructive cause of hyperthyroidism.

Highlights

  • The Pathology of HyperthyroidismThis article reviews those pathologic lesions which are associated with clinical and/or biochemical hyperthyroidism

  • Hyperthyroidism is a clinical syndrome characterized by hypermetabolic state due to the increased free serum thyroxine (T4) and/or free triiodothyronine (T3)

  • Another interesting thyroid carcinoma that can present with hyperthyroidism is the rare diffuse follicular variant of papillary carcinoma [42]

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Summary

The Pathology of Hyperthyroidism

This article reviews those pathologic lesions which are associated with clinical and/or biochemical hyperthyroidism. Beginning with the descriptive pathology of classical Graves’ disease and the less common toxic nodular goiter and hyper-functioning thyroid nodules, this paper describes the effects of non-thyroidal hormones, glandular function (including pituitary and hypothalamic lesions), ectopic production of thyroid stimulating proteins by non-thyroidal neoplasms, exogenous drug reactions causing hyper-function and conditions associated with a mechanic- destructive cause of hyperthyroidism. Reviewed by: Cesidio Giuliani, Università degli Studi G. d’Annunzio Chieti e Pescara, Italy Giampaolo Papi, Azienda Unità Sanitaria Locale di Modena, Italy. Specialty section: This article was submitted to Thyroid Endocrinology, a section of the journal Frontiers in Endocrinology.

INTRODUCTION
Diffuse Toxic Goiter
HYPERTHYROIDISM ASSOCIATED WITH HYPERFUNCTIONING THYROID TUMORS
Toxic Nodular Goiter
SECONDARY AND TERTIARY HYPERTHYROIDISM
HYPERTHYROIDISM DUE TO STRUMA OVARII
HYPERTHYROIDISM ASSOCIATED WITH TROPHOBLASTIC DISEASE
DRUG ASSOCIATED HYPERTHYROIDISM
Hyperthyroidism Associated With Antineoplastic Agents and Targeted Therapies
Findings
CONCLUSION

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