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Martes, 09 de Agosto de 2011 15:21

Bocio Coloide

Written by  Dr. Edgar Montes de Oca Durán
Bocio Coloide

Este termino designa a un crecimiento difuso o regional del tiroides, que se manifiesta por un nódulo único o múltiples nódulos pequeños.

  • Se clasifica en:
    • Grado I: palpable, no visible.
    • Grado II: Palpable y visible, con el cuello en posición normal.
    • Grado III: visible a distancia
    • Grado IV: con signos de compresión mecánica

El bocio es un crecimiento de la glándula tiroides, puede deberse a muchas causas, lo mas probable es que el crecimiento se origine por alguna causa benigna, sin embargo no se descarta la posibilidad de malignidad, hasta que se realiza el diagnóstico preciso. Para saber la causa del bocio, además de la exploración física, el primer estudio que se debe realizar es una  biopsia por aspiración con aguja fina, se realiza en el consultorio con una jeringa, no hay dolor, es ambulatorio, muy seguro,  similar a una pequeña y simple  inyección, se obtiene una muestra y se manda a analizar, esto dará el diagnóstico en el 80% de los casos y no requerirá de mas estudios, de esta forma podremos establecer el tratamiento definitivo.

El bocio coloide es un fenómeno de adaptación a la carencia de yodo, o bien consecuencia de déficit de síntesis hormonal, con la neo-formación de folículos y procesos degenerativos cicatrizales, acompañados de un aporte sanguíneo insuficiente en relación con las necesidades metabólicas de la glándula, lo que provoca que la glándula tiene que crecer para compensar su función, el bocio coloide es una entidad benigna, pero con el tiempo se pueden formar algún foco canceroso dentro de el.

Las causas principales son: la ingesta deficiente de yodo en la dieta, medicamentos bociógenos, trastornos congénitos.

Last modified on Lunes, 11 de Junio de 2012 03:13

TEL: 52 73 38 10 Y 52 73 38 70


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