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The processes involved in the development of the
third of the main types of goitre i.e. multinodular
goitre, are more difficult to comprehend.
Multinodular goitre is typically more prevalent in
females and in the elderly and has some genetical
background. Over the years an increasing number
of areas of the thyroid gland gradually become
abnormal with irregular or nodular growth. The
abnormal areas may appear hyper- or hypofunc-tioning
on scintigraphy.
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