The clonal origin of thyroid nodules in euthyroid nodular goiter.

Thyroidology Pub Date : 1990-12-01
G B Salabé
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Abstract

Prevalence of euthyroid nodular goiter varies widely according to the endemia of the region studied. The goiter hyperplasia under goitrogenic stimuli progresses in the formation of nodules. Presently the pathophysiology of the thyroid nodules' formation in euthyroid nodular goiter is unknown. The A. reviews the two current hypothesis on the clonal origin of thyroid nodules. According to one hypothesis the nodule issues as the result of a coordinated replication of a cluster of follicles with an increased growth potential. According to the second hypothesis the formation of new follicles during goitrogenesis is due to a sprouting of one or a few cells from the follicles shell; nodules formation is the result of post-necrotic fibrosis and uneven growth.

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甲状腺正常结节性甲状腺肿中甲状腺结节的克隆起源。
甲状腺结节性甲状腺肿的患病率根据所研究地区的地方性差异很大。甲状腺增生在甲状腺肿刺激下发展为结节的形成。目前对甲状腺结节性甲状腺肿中甲状腺结节形成的病理生理尚不清楚。本文综述了目前关于甲状腺结节克隆起源的两种假说。根据一种假说,结节问题是由于一簇卵泡的协调复制,具有增加的生长潜力。根据第二种假说,在甲状腺肿发生过程中,新卵泡的形成是由于卵泡外壳中冒出一个或几个细胞;结节的形成是坏死后纤维化和不均匀生长的结果。
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