Megalo-Goitrous Form of Hashimoto's Thyroiditis: A Rare Indication for Surgery

Abstract

Hashimoto's thyroiditis (HT) is the commonest cause of hypothyroidism, especially in iodine replete areas. The clinical presentation of HT is usually insidious with mild goiter and progressive hypothyroidism. But, HT presents with large goiter and compressive symptoms in some cases. The treatment of HT is mostly conservative with thyroxine treatment sooner or later. Occasionally, surgery is indicated for large goiters with persistent pressure symptoms or associated nodules. We report a rare case of unusually large goiter with compressive symptoms, hitherto unreported in literature. Fig. 3: Ex vivo specimen of large diffuse goiter on grossing chart