{"id":2146,"date":"2025-12-11T15:05:44","date_gmt":"2025-12-11T12:05:44","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/goitre\/"},"modified":"2026-04-08T12:12:59","modified_gmt":"2026-04-08T09:12:59","slug":"goitre","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/","title":{"rendered":"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>Le goitre est un terme g\u00e9n\u00e9ral utilis\u00e9 pour d\u00e9crire les anomalies de la glande thyro\u00efde, qui se manifestent par une augmentation de sa taille et de son volume. Le volume de la glande thyro\u00efde ne d\u00e9passe normalement pas 18\u2009cm\u00b3 chez les femmes et 25\u2009cm\u00b3 chez les hommes. Le goitre est 4 \u00e0 5 fois plus fr\u00e9quent chez les femmes que chez les hommes.<\/p>\n<p>Le goitre peut \u00eatre physiologique (\u00e0 la pubert\u00e9, pendant la grossesse et l\u2019allaitement) ou pathologique. L\u2019hypertrophie physiologique de la glande thyro\u00efde est due \u00e0 une augmentation des besoins de l\u2019organisme en hormones thyro\u00efdiennes. Elle est temporaire et ne n\u00e9cessite g\u00e9n\u00e9ralement pas de traitement.<\/p>\n<p><a href=\"https:\/\/catalog.voka.io\/en\/models\/862dbbd9-7cc2-476f-9800-793443a3b8a7\/8bbb5608-42e1-4f30-b99c-22a516d26552\/f3507060-bd72-46ce-8028-dc289507f591\/e3d94317-67b0-4808-a3b3-367a078ee5b6\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les 3D<\/a> de diff\u00e9rents types de goitres\u00a0:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69ef49429eeb6\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/diffuse-goiter.webp\" alt=\"Goitre diffus \"><span class=\"small-text-article text-main-text-color\">Goitre diffus <\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/nodular-goiter.webp\" alt=\"Goitre nodulaire\"><span class=\"small-text-article text-main-text-color\">Goitre nodulaire<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/nodular-goiter-section.webp\" alt=\"Goitre nodulaire (vue en coupe)\"><span class=\"small-text-article text-main-text-color\">Goitre nodulaire (vue en coupe)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/multinodular-goiter.webp\" alt=\"Goitre multinodulaire\"><span class=\"small-text-article text-main-text-color\">Goitre multinodulaire<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/multinodular-goiter-section.webp\" alt=\"Goitre multinodulaire (vue en coupe)\"><span class=\"small-text-article text-main-text-color\">Goitre multinodulaire (vue en coupe)<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69ef49429eeb6\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69ef49429eeb6\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69ef49429eeb6\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69ef49429eeb6', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69ef49429eeb6',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69ef49429eeb6',\n                prevEl: '.carousel-swiper-button-prev-block_69ef49429eeb6',\n            },\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-du-goitre\"><strong>Classification du goitre<\/strong><\/h2>\n<p>Il existe plusieurs classifications du goitre en fonction de l\u2019\u00e9tiologie, de l\u2019\u00e9pid\u00e9miologie, de l\u2019anatomie, ainsi que des caract\u00e9ristiques fonctionnelles ou morphologiques.<\/p>\n<h3 class=\"wp-block-heading\" id=\"par-etiologie-et-epidemiologie\"><strong>Par \u00e9tiologie et \u00e9pid\u00e9miologie <\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>L\u2019hypertrophie physiologique<\/strong> est due \u00e0 l\u2019augmentation des besoins de l\u2019organisme en hormones thyro\u00efdiennes (pubert\u00e9, grossesse, allaitement).<\/li>\n<li><strong>Le goitre pathologique<\/strong> survient \u00e0 la suite d\u2019une maladie thyro\u00efdienne.<\/li>\n<li><strong>Le goitre end\u00e9mique,<\/strong> r\u00e9v\u00e9l\u00e9 dans une large population, est caus\u00e9 par une carence en iode.<\/li>\n<li><strong>Le goitre sporadique <\/strong>appara\u00eet dans les r\u00e9gions non end\u00e9miques.<\/li>\n<li><strong>Le goitre familial (h\u00e9r\u00e9ditaire) est <\/strong>caus\u00e9 par la pr\u00e9sence d\u2019un d\u00e9faut g\u00e9n\u00e9tique dans la synth\u00e8se des hormones thyro\u00efdiennes.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"par-structure-et-fonction\"><strong>Par structure et fonction<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Structure morphologique\u00a0:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Goitre diffus\u00a0:<\/strong> la glande thyro\u00efde est uniform\u00e9ment hypertrophi\u00e9e.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure class=\"wp-block-video\" id=\"animation-3d-goitre-diffus\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/diffuse-goiter.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: goitre diffus<\/figcaption><\/figure>\n<ul class=\"wp-block-list\">\n<li><strong>Goitre nodulaire\u00a0:<\/strong> l\u2019hypertrophie est due \u00e0 une masse nodulaire solitaire.<\/li>\n<\/ul>\n<figure class=\"wp-block-video\" id=\"animation-3d-goitre-nodulaire\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/nodular-goiter.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: goitre nodulaire<\/figcaption><\/figure>\n<ul class=\"wp-block-list\">\n<li><strong>Le goitre multinodulaire d\u00e9signe <\/strong>la pr\u00e9sence de plusieurs nodules (au moins deux).<\/li>\n<\/ul>\n<figure class=\"wp-block-video\" id=\"animation-3d-goitre-multinodulaire\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/endocrinology\/goiter\/multinodular-goiter.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: goitre multinodulaire<\/figcaption><\/figure>\n<ul class=\"wp-block-list\">\n<li><strong>Fonction\u00a0:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Goitre non toxique (goitre euthyro\u00efdien)\u00a0:<\/strong> la fonction est normale (euthyro\u00efdie) ou r\u00e9duite (hypothyro\u00efdie).<\/li>\n<li><strong>Goitre toxique\u00a0:<\/strong> les taux d\u2019hormones thyro\u00efdiennes sont \u00e9lev\u00e9s.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Anatomie\u00a0:<\/strong><strong>goitre simple<\/strong> (au niveau du cou) ou <strong>goitre r\u00e9trosternal<\/strong> (situ\u00e9 sous la fosse jugulaire).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"par-stade-degres-d-hypertrophie\"><strong>Par stade (degr\u00e9s d\u2019hypertrophie) <\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Stade 0\u00a0:<\/strong> la glande thyro\u00efde n\u2019est pas hypertrophi\u00e9e (pas de goitre).<\/li>\n<li><strong>Stade I\u00a0:<\/strong> la glande thyro\u00efde est hypertrophi\u00e9e \u00e0 la palpation, le contour du cou n\u2019est pas d\u00e9form\u00e9 et la position du cou est normale.<\/li>\n<li><strong>Stade II\u00a0:<\/strong> l\u2019hypertrophie de la glande thyro\u00efde est d\u00e9tect\u00e9e \u00e0 la fois par palpation et visuellement (d\u00e9formation du contour du cou par rapport \u00e0 sa position normale).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologie-et-pathogenese-du-goitre\"><strong>\u00c9tiologie et pathogen\u00e8se du goitre<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"causes\"><strong>Causes<\/strong><\/h3>\n<p>La cause la plus fr\u00e9quente du goitre est la carence en iode.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Carence en iode\u00a0:<\/strong> une consommation r\u00e9duite en iode augmente le risque de goitre.<\/li>\n<li><strong>Maladies thyro\u00efdiennes\u00a0:<\/strong> le goitre peut provenir de l\u00e9sions auto-immunes, inflammatoires ou tumorales.<\/li>\n<li><strong>Anomalies g\u00e9n\u00e9tiques\u00a0:<\/strong> des mutations dans les g\u00e8nes NIS, thyroperoxidase, DUOX2 et d\u2019autres g\u00e8nes ont \u00e9t\u00e9 identifi\u00e9es.<\/li>\n<li><strong>Goitrog\u00e8nes :<\/strong> administration de m\u00e9dicaments (lithium, amiodarone) et aliments (chou, sorgho).<\/li>\n<li><strong>Autres facteurs\u00a0:<\/strong> exposition aux rayonnements ionisants, r\u00e9sistance \u00e0 l\u2019insuline, syndrome m\u00e9tabolique.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"pathogenese\"><strong>Pathogen\u00e8se<\/strong><\/h3>\n<p><strong>Le goitre est une r\u00e9ponse adaptative<\/strong> des cellules folliculaires de la glande thyro\u00efde \u00e0 un processus qui bloque la production d\u2019hormones thyro\u00efdiennes.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>M\u00e9canisme\u00a0:<\/strong> une carence en iode entra\u00eene une diminution de la production d\u2019hormones. En r\u00e9ponse, l\u2019hypophyse augmente la s\u00e9cr\u00e9tion de TSH.<\/li>\n<li><strong>R\u00e9sultat\u00a0:<\/strong> des taux \u00e9lev\u00e9s de TSH entra\u00eenent une stimulation des cellules folliculaires, une hyperplasie thyro\u00efdienne et la formation d\u2019un goitre.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"presentation-clinique-et-symptomes-du-goitre\"><strong>Pr\u00e9sentation clinique et sympt\u00f4mes du goitre<\/strong><\/h2>\n<p>La pr\u00e9sentation clinique du goitre est due \u00e0 deux syndromes\u00a0: le syndrome de compression des organes et tissus environnants d\u00fb \u00e0 l\u2019augmentation de la taille de la glande et le syndrome de dysfonctionnement endocrinien. La grande majorit\u00e9 des patients sont euthyro\u00efdiens et ne pr\u00e9sentent aucun sympt\u00f4me.<\/p>\n<h3 class=\"wp-block-heading\" id=\"syndrome-de-compression\"><strong>Syndrome de compression<\/strong><\/h3>\n<p>Comprend des sympt\u00f4mes tels qu\u2019une fi\u00e8vre persistante et une sensation de boule dans la gorge, une alt\u00e9ration de la phonation, une dysphagie, une dyspn\u00e9e croissante et une d\u00e9formation du contour du cou. \u00c9tant donn\u00e9 que le volume de la glande thyro\u00efde augmente g\u00e9n\u00e9ralement lentement, ces sympt\u00f4mes se d\u00e9veloppent progressivement et les patients ne pr\u00e9sentent aucun trouble pendant longtemps.<\/p>\n<h3 class=\"wp-block-heading\" id=\"syndrome-de-dysfonctionnement-endocrinien\"><strong>Syndrome de dysfonctionnement endocrinien <\/strong><\/h3>\n<p>Les manifestations cliniques sont dues au d\u00e9veloppement d\u2019une hypo- ou d\u2019une hyperthyro\u00efdie. La grande majorit\u00e9 des patients sont euthyro\u00efdiens et ne pr\u00e9sentent aucun sympt\u00f4me.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Hypothyro\u00efdie (goitre non toxique)\u00a0:<\/strong> fatigue rapide, l\u00e9thargie, apathie, somnolence, labilit\u00e9 \u00e9motionnelle, ongles et cheveux cassants, peau s\u00e8che, gonflements, prise de poids, baisse de la libido, r\u00e8gles irr\u00e9guli\u00e8res chez les femmes.<\/li>\n<li><strong>Hyperthyro\u00efdie (goitre toxique)\u00a0:<\/strong> tachycardie, arythmies, perte de poids malgr\u00e9 une augmentation de l\u2019app\u00e9tit, labilit\u00e9 \u00e9motionnelle, augmentation de la transpiration, tremblements des mains.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-et-traitement-du-goitre\"><strong>Diagnostic et traitement du goitre<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"methodes-de-diagnostic\"><strong>M\u00e9thodes de diagnostic<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li><strong>Anamn\u00e8se <\/strong><\/li>\n<\/ol>\n<p>Les faits suivants sont importants\u00a0: vivre dans des zones o\u00f9 l\u2019iode est d\u00e9ficitaire, avoir \u00e9t\u00e9 expos\u00e9 \u00e0 des rayonnements ionisants, avoir des ant\u00e9c\u00e9dents familiaux, prendre des m\u00e9dicaments qui affectent la fonction thyro\u00efdienne.<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Examen et palpation <\/strong><\/li>\n<\/ol>\n<p>Ils permettent d\u2019\u00e9valuer la taille de la glande. \u00c0 l\u2019examen, les patients atteints d\u2019un goitre de stade 2 pr\u00e9sentent un contour du cou d\u00e9form\u00e9 avec une position normale du cou, et la peau est g\u00e9n\u00e9ralement de couleur normale.<\/p>\n<p>\u00c0 la palpation, la glande thyro\u00efde est hypertrophi\u00e9e, pr\u00e9sente une consistance \u00e9lastique, est indolore et mobile par rapport aux tissus environnants.<\/p>\n<p>En cas de goitre nodulaire\/multinodulaire, une ou plusieurs masses \u00e9lastiques indolores de forme ronde sont d\u00e9tect\u00e9es \u00e0 la palpation dans le tissu thyro\u00efdien.<\/p>\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Diagnostic en laboratoire<\/strong><\/li>\n<\/ol>\n<p>D\u00e9termination des taux d\u2019hormones thyro\u00efdiennes dans le s\u00e9rum (T3, T4, T3 libre, T4 libre, TSH, TG, TPOAb, TTHAb, TGAb).<\/p>\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong>\u00c9chographie <\/strong><\/li>\n<\/ol>\n<p>Il s\u2019agit de la principale m\u00e9thode d\u2019imagerie thyro\u00efdienne. Elle permet d\u2019\u00e9valuer l\u2019emplacement, la taille de l\u2019organe et la pr\u00e9sence d\u2019une pathologie nodulaire. <\/p>\n<p>Le syst\u00e8me TI-RADS (Thyroid Imaging Reporting and Data System) est actuellement utilis\u00e9 pour \u00e9valuer les masses nodulaires.<\/p>\n<h4 class=\"wp-block-heading\" id=\"h-\u0443\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u0430\u044f-\u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f-ti-rads-nbsp\"><strong>Classification \u00e9chographique (TI-RADS) <\/strong><\/h4>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Risque de malignit\u00e9, %<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Description<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 1<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">0<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Aucune pathologie nodulaire<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 2<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">0<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodule collo\u00efde de type I, II, III<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 3<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">< 5<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodules hyper-, iso- ou hypo\u00e9chog\u00e8nes avec capsule partiellement form\u00e9e (pseudo-nodules de Hashimoto)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 4a<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">5 \u2013 10<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodule solide ou mixte hyper-, iso- ou hypo\u00e9chog\u00e8ne avec capsule fine, avec ou sans calcifications<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 4b<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">10 \u2013 80<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodule hypo-, iso- ou hyper\u00e9chog\u00e8ne, \u00e0 contour irr\u00e9gulier, sans bordure nette avec le parenchyme normal, avec pr\u00e9sence de microcalcifications<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 5<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">> 80<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodule iso- ou hypo\u00e9chog\u00e8ne, sans capsule, avec calcifications multiples, avec vascularisation accrue<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>TI-RADS 6<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">100<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Nodule malin pr\u00e9c\u00e9demment confirm\u00e9 par les r\u00e9sultats d\u2019une biopsie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>Visualisation suppl\u00e9mentaire<\/strong><\/li>\n<\/ol>\n<p>La tomodensitom\u00e9trie, l\u2019IRM et la scintigraphie sont utilis\u00e9es comme m\u00e9thodes de clarification et de diagnostic fonctionnel.<\/p>\n<ol start=\"6\" class=\"wp-block-list\">\n<li><strong>Biopsie par aspiration \u00e0 l\u2019aiguille fine (FNA)<\/strong>\n<ul class=\"wp-block-list\">\n<li>Elle est utilis\u00e9e pour le diagnostic diff\u00e9rentiel des <strong>masses ganglionnaires<\/strong>.<\/li>\n<li>Elle est r\u00e9alis\u00e9e sous contr\u00f4le \u00e9chographique. La proc\u00e9dure ne n\u00e9cessite aucune pr\u00e9paration particuli\u00e8re ni anesth\u00e9sie.<\/li>\n<li><strong>Complications\u00a0:<\/strong> h\u00e9matome sous-cutan\u00e9, douleur locale, inflammation locale. Elles sont rares, ne n\u00e9cessitent g\u00e9n\u00e9ralement pas de traitement et disparaissent spontan\u00e9ment en quelques jours.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"diagnostic-differentiel\"><strong>Diagnostic diff\u00e9rentiel<\/strong><\/h3>\n<p>Il est r\u00e9alis\u00e9 avec le lymphome, le cancer de la thyro\u00efde, l\u2019ad\u00e9nome parathyro\u00efdien, le kyste m\u00e9dian du cou, les malformations vasculaires, l\u2019abc\u00e8s et la lymphad\u00e9nopathie. Le diagnostic est \u00e9tabli \u00e0 l\u2019aide d\u2019une \u00e9chographie, d\u2019une tomodensitom\u00e9trie, d\u2019une IRM et d\u2019une biopsie par aspiration \u00e0 l\u2019aiguille fine, suivie d\u2019un examen cytologique du pr\u00e9l\u00e8vement.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h3 class=\"wp-block-heading\" id=\"traitement-et-pronostic\"><strong>Traitement et pronostic<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Goitre non toxique (stade 1)\u00a0:<\/strong> en cas d\u2019euthyro\u00efdie et d\u2019absence de sympt\u00f4mes, aucun traitement n\u2019est n\u00e9cessaire, mais une surveillance annuelle avec \u00e9chographie obligatoire et \u00e9valuation de l\u2019\u00e9tat thyro\u00efdien est recommand\u00e9e.<\/li>\n<li><strong>Hypothyro\u00efdie\u00a0:<\/strong> un traitement hormonal substitutif \u00e0 base de l\u00e9vothyroxine sodique est indiqu\u00e9. La dose est choisie individuellement et ajust\u00e9e sous contr\u00f4le des taux de TSH et de T4 libre.<\/li>\n<li><strong>Goitre de stade 2 \/ Syndrome de compression\u00a0:<\/strong> n\u00e9cessite g\u00e9n\u00e9ralement un traitement chirurgical.<\/li>\n<li><strong>Traitement chirurgical\u00a0:<\/strong> indiqu\u00e9 pour les goitres nodulaires et multinodulaires (h\u00e9mithyro\u00efdectomie ou thyro\u00efdectomie).<\/li>\n<li><strong>Complications chirurgicales\u00a0:<\/strong> h\u00e9morragie, infection, l\u00e9sion du nerf laryng\u00e9 (dysphonie, st\u00e9nose), l\u00e9sion des glandes parathyro\u00efdes (hypoparathyro\u00efdie).<\/li>\n<li><strong>Pronostic\u00a0:<\/strong> le pronostic chez les patients atteints de formes diffuses et nodulaires de goitre est favorable.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que le goitre en termes simples\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Un goitre est une augmentation du volume de la thyro\u00efde au-del\u00e0 de la taille normale (plus de 18\u2009cm\u00b3 chez les femmes, 25\u2009cm\u00b3 chez les hommes).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Un goitre collo\u00efde peut-il \u00e9voluer vers un cancer\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le goitre collo\u00efde est consid\u00e9r\u00e9 comme un processus b\u00e9nin. Le risque de d\u00e9velopper un cancer de la thyro\u00efde chez les patients atteints d\u2019un goitre collo\u00efde est inf\u00e9rieur \u00e0 5 %. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quels sont les risques li\u00e9s \u00e0 la maladie de Graves (MG)\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La maladie de Graves (MG) est dangereuse car elle peut entra\u00eener une hyperthyro\u00efdie, qui peut elle-m\u00eame entra\u00eener des complications graves, notamment des troubles du rythme cardiaque, une insuffisance cardiaque et une crise thyro\u00efdienne (crise thyro\u00efdienne).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Comment traiter le goitre chez les femmes si les taux d\u2019hormones sont normaux (euthyro\u00efdie)\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Un goitre euthyro\u00efdien de stade 1 sans sympt\u00f4mes ne n\u00e9cessite pas de traitement, mais doit \u00eatre surveill\u00e9. Si le goitre est nodulaire ou provoque un syndrome de compression, un traitement chirurgical peut \u00eatre n\u00e9cessaire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Qu\u2019est-ce qu\u2019un goitre nodulaire de stade 1, et que signifie TI-RADS\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Un goitre nodulaire de stade 1 signifie que le patient pr\u00e9sente une masse nodulaire avec un l\u00e9ger gonflement de la glande thyro\u00efde. Selon le TI-RADS, les nodules peuvent \u00eatre class\u00e9s comme pr\u00e9sentant un risque faible ou \u00e9lev\u00e9 de malignit\u00e9.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Pourquoi le goitre est-il plus fr\u00e9quent chez les femmes\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le goitre est 4 \u00e0 5 fois plus fr\u00e9quent chez les femmes que chez les hommes, ce qui s\u2019explique par des facteurs hormonaux (grossesse, allaitement) ainsi que par une pr\u00e9valence plus \u00e9lev\u00e9e des maladies thyro\u00efdiennes auto-immunes chez la population f\u00e9minine.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet] (VOKA 3D Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]). VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Can AS, Rehman A. Goiter [Internet]. StatPearls \u2013 NCBI Bookshelf. 2023. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562161\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Organisation mondiale de la sant\u00e9. Le goitre comme facteur d\u00e9terminant de la pr\u00e9valence et de la gravit\u00e9 des troubles li\u00e9s \u00e0 la carence en iode dans les populations. [Internet]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse : https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/93690705-d99e-4818-bb83-ac69a1679575\/content<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Organisation mondiale de la sant\u00e9. Les populations de la r\u00e9gion europ\u00e9enne de l\u2019OMS sont plus expos\u00e9es au risque de carence en iode en raison de l\u2019\u00e9volution de leurs habitudes alimentaires. [Internet]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse : https:\/\/www.who.int\/europe\/news\/item\/28-06-2024-people-in-the-who-european-region-at-greater-risk-of-iodine-deficiency-due-to-changing-diets<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Novosad SV, Rogova MO, Martirosyan NS, Petunina NA. Modern prognostic models for thyroid cancer risk stratification. Doctor.Ru. 2016;8(125):52-56. [En russe.] <\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Le goitre est un terme g\u00e9n\u00e9ral utilis\u00e9 pour d\u00e9crire les anomalies de la glande thyro\u00efde, qui se manifestent par une augmentation de sa taille et de son volume. Le volume de la glande thyro\u00efde ne d\u00e9passe normalement pas 18\u2009cm\u00b3 chez les femmes et 25\u2009cm\u00b3 chez les hommes. Le goitre est 4 \u00e0 5 fois plus [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","diseases_category":[319],"class_list":["post-2146","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-endocriniennes"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Goitre\u00a0: causes, classification et traitement<\/title>\n<meta name=\"description\" content=\"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement\" \/>\n<meta property=\"og:description\" content=\"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\" \/>\n<meta property=\"og:site_name\" content=\"Voka Wiki\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-08T09:12:59+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\"},\"author\":{\"name\":\"Svetlana D.\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/db2323e04db0476b27a91f8b0ee11674\"},\"headline\":\"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement\",\"datePublished\":\"2025-12-11T12:05:44+00:00\",\"dateModified\":\"2026-04-08T09:12:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\"},\"wordCount\":1453,\"publisher\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#organization\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\",\"url\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\",\"name\":\"Goitre\u00a0: causes, classification et traitement\",\"isPartOf\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#website\"},\"datePublished\":\"2025-12-11T12:05:44+00:00\",\"dateModified\":\"2026-04-08T09:12:59+00:00\",\"description\":\"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.\",\"breadcrumb\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/wiki.dev.voka.io\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Endokrinologie\",\"item\":\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#website\",\"url\":\"https:\/\/wiki.dev.voka.io\/fr\/\",\"name\":\"Voka Wiki\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#organization\"},\"alternateName\":\"Anatomy & Pathology Wiki by VOKA\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/wiki.dev.voka.io\/fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#organization\",\"name\":\"Voka 3D Anatomy & Pathology\",\"alternateName\":\"VOKA\",\"url\":\"https:\/\/wiki.dev.voka.io\/fr\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"contentUrl\":\"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"width\":70,\"height\":16,\"caption\":\"Voka 3D Anatomy & Pathology\"},\"image\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\",\"https:\/\/www.instagram.com\/voka.io\/\",\"https:\/\/www.linkedin.com\/company\/voka-io\/\",\"https:\/\/www.youtube.com\/channel\/UCqGGuOEpr62ScH8Pjk2q5zw\/videos\",\"https:\/\/www.pinterest.com\/VokaAnatomyPro\/\",\"https:\/\/www.threads.com\/@voka.io\"],\"description\":\"VOKA.io offers 3D medical animations and custom 3D modeling services. Our product, VOKA 3D Anatomy & Pathology, is a digital atlas with over 1,000 detailed 3D models of human anatomy and pathology, designed for medical education, training, and patient communication.\",\"email\":\"info@voka.io\",\"telephone\":\"+1 814 351 4442\",\"legalName\":\"Voka 3D Anatomy & Pathology\",\"foundingDate\":\"2017-02-12\",\"naics\":\"541512\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"51\",\"maxValue\":\"200\"},\"publishingPrinciples\":\"https:\/\/wiki.voka.io\/fr\/principes-de-publication\/\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/db2323e04db0476b27a91f8b0ee11674\",\"name\":\"Svetlana D.\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/13c4707623dc25bf8d6f213b7571cb2f1c97033975ab8a40ec877111a042661b?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/13c4707623dc25bf8d6f213b7571cb2f1c97033975ab8a40ec877111a042661b?s=96&d=mm&r=g\",\"caption\":\"Svetlana D.\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Goitre\u00a0: causes, classification et traitement","description":"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"fr_FR","og_type":"article","og_title":"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement","og_description":"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.","og_url":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/","og_site_name":"Voka Wiki","article_publisher":"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/","article_modified_time":"2026-04-08T09:12:59+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#article","isPartOf":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/"},"author":{"name":"Svetlana D.","@id":"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/db2323e04db0476b27a91f8b0ee11674"},"headline":"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement","datePublished":"2025-12-11T12:05:44+00:00","dateModified":"2026-04-08T09:12:59+00:00","mainEntityOfPage":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/"},"wordCount":1453,"publisher":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/#organization"},"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/","url":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/","name":"Goitre\u00a0: causes, classification et traitement","isPartOf":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/#website"},"datePublished":"2025-12-11T12:05:44+00:00","dateModified":"2026-04-08T09:12:59+00:00","description":"Guide complet sur le goitre\u00a0: classification (nodulaire, diffus), sympt\u00f4mes, causes et traitements actuels du goitre.","breadcrumb":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/goitre\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/wiki.dev.voka.io\/fr\/"},{"@type":"ListItem","position":2,"name":"Endokrinologie","item":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/endocriniennes\/"},{"@type":"ListItem","position":3,"name":"Goitre&nbsp;: classification, \u00e9tiologie et m\u00e9thodes de traitement"}]},{"@type":"WebSite","@id":"https:\/\/wiki.dev.voka.io\/fr\/#website","url":"https:\/\/wiki.dev.voka.io\/fr\/","name":"Voka Wiki","description":"","publisher":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/#organization"},"alternateName":"Anatomy & Pathology Wiki by VOKA","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/wiki.dev.voka.io\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/wiki.dev.voka.io\/fr\/#organization","name":"Voka 3D Anatomy & Pathology","alternateName":"VOKA","url":"https:\/\/wiki.dev.voka.io\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png","contentUrl":"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png","width":70,"height":16,"caption":"Voka 3D Anatomy & Pathology"},"image":{"@id":"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/","https:\/\/www.instagram.com\/voka.io\/","https:\/\/www.linkedin.com\/company\/voka-io\/","https:\/\/www.youtube.com\/channel\/UCqGGuOEpr62ScH8Pjk2q5zw\/videos","https:\/\/www.pinterest.com\/VokaAnatomyPro\/","https:\/\/www.threads.com\/@voka.io"],"description":"VOKA.io offers 3D medical animations and custom 3D modeling services. Our product, VOKA 3D Anatomy & Pathology, is a digital atlas with over 1,000 detailed 3D models of human anatomy and pathology, designed for medical education, training, and patient communication.","email":"info@voka.io","telephone":"+1 814 351 4442","legalName":"Voka 3D Anatomy & Pathology","foundingDate":"2017-02-12","naics":"541512","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"51","maxValue":"200"},"publishingPrinciples":"https:\/\/wiki.voka.io\/fr\/principes-de-publication\/"},{"@type":"Person","@id":"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/db2323e04db0476b27a91f8b0ee11674","name":"Svetlana D.","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/wiki.dev.voka.io\/fr\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/13c4707623dc25bf8d6f213b7571cb2f1c97033975ab8a40ec877111a042661b?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/13c4707623dc25bf8d6f213b7571cb2f1c97033975ab8a40ec877111a042661b?s=96&d=mm&r=g","caption":"Svetlana D."}}]}},"_links":{"self":[{"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/diseases_post\/2146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/diseases_post"}],"about":[{"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/types\/diseases_post"}],"author":[{"embeddable":true,"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/users\/9"}],"wp:attachment":[{"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/media?parent=2146"}],"wp:term":[{"taxonomy":"diseases_category","embeddable":true,"href":"https:\/\/wiki.dev.voka.io\/fr\/wp-json\/wp\/v2\/diseases_category?post=2146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}