“…Because feline hyperthyroidism most often results from benign adenomatous nodules of the thyroid gland, it is both clinically and pathologically similar to toxic nodular goiter or Plummer's disease in humans (Hoenig et al 1982, Carpenter et al 1987, Gerber et al 1994, Paschke 2013). Similar to human toxic nodular goiter, this feline disease is a progressive disease, with cats transitioning from a subclinical stage to overt hyperthyroidism as the automatous thyroid nodules increase in size (Wakeling et al 2007, 2011, Broome & Peterson 2014, Peterson & Broome 2014a).…”