Goiter: Classification

Classification of goiter according to ICD-10

  • Iodine-deficiency-related diffuse goiter (E01.0).
  • Iodine deficiency-related multinodular goiter (E01.1)
  • Iodine deficiency-related goiter, unspecified (E01.2)
  • Congenital hypothyroidism (hypothyroidism) with diffuse goiter E03.0)
  • Non-toxic diffuse goiter (E04.0)
  • Non-toxic solitary thyroid nodule (E04.2)
  • Non-toxic multinodular goiter (E04.2)
  • Other specified nontoxic goiter (E04.8).
  • Nontoxic goiter, unspecified (E04.9)
  • Hyperthyroidism (hyperthyroidism) with diffuse goiter (E05.0)
  • Hyperthyroidism with toxic solitary thyroid nodule (E05.1)
  • Hyperthyroidism with toxic multinodular goiter (E05.3)
  • Dyshormogenic goiter (E07.1)

WHO staging of goiter

Stage Clinical findings
0 No goiter
Ia Goiter palpable, but not visible with reclined (= extension of head toward back) neck
Ib Goiter palpable in reclined (“backward leaning”) neck
II Goiter visible with normal posture of the head
III Goiter with signs of local congestion/compression (stridor/whistling breathing, upper influence congestion (OES), tracheomalacia/disease in which the cartilaginous braces of the trachea and/or larynx are too soft)

Other divisions

Classification according to function: euthyroid goiter (normal metabolic values) is distinguished from hypothyroid goiter (in hypothyroidism) and hyperthyroid goiter or toxic goiter (in hyperthyroidism).

Epidemiologic classification, i.e., by occurrence: This is classified/defined as follows: if more than 10% of the population is affected within an area, it is called endemic goiter; otherwise, it is called sporadic goiter.