Multinodal goitre

Nature 
Multinodal goitres usually develop from simple goitres. The enlarging goitre can cause compression of neck structures such as trachea or oesophagus. Malignancy is low: 3-5% of cases. Such goitres may be associated with hypothyroidism or hyperthyroidism.
Background 
How simple goitres over time transform into multinodular goitre is yet to be fully understood. The heterogeneity in the function of thyroid follicular cells may be responsible for the characteristic heterogeneity of shape and function among newly generated follicles.
Incidence 
Most commonly affects middle aged women and can occur sporadically or endemically.
Broader 
Narrower 
Aggravates 
Aggravated by 
Type 
(G) Very specific problems