This refers to weakness of external ocular muscles and exophthalmos from Graves disease. Strabismus and diplopia may be present, as well as pain and lid retraction. The term infiltrative ophthalmopathy refers to ocular muscle histology that suggests an autoimmune process: prominent fibroblastic tissue, degenerated fibers, and infiltration of lymphocytes, mononuclear leukocytes, and lipocytes.
Nervousness; Rapid or irregular heartbeat; A few thyroid nodules are cancerous (malignant), but determining which nodules are malignant can't be done by symptoms alone. Most cancerous thyroid nodules are slow growing and may be small when they're discovered.
A thyroid nodule is a lump that can develop in your thyroid gland. It can be solid or filled with fluid. You can have a single nodule or a cluster of nodules. Thyroid nodules are relatively common and rarely cancerous. Your thyroid is a small... Read More. A thyroid nodule is a lump that can develop in your thyroid gland.
The main cause is unknown, but thyroid nodules and thyroid enlargement are more common in women than men and increase in frequency with age. Women often develop thyroid enlargement during pregnancy and the menopause. If you have a nodule or swelling in your neck you should see your doctor with a minimum of delay.
The thyroid ultrasound is the appropriate next step. FNA biopsy of any large/suspicious nodules would be next. 5-10% are cancer -- ie, most benign. If all benign, but still with symptoms, then surgical removal should be discussed with the ENT. If benign, and minimal/no symptoms then observation.