A goiter is the uneven growth of the thyroid gland. A goiter might be a general enlargement of the thyroid, or it might be the outcome of uneven cell growth that forms several lumps in the thyroid. A goiter may be related to no change in thyroid function or with an increase or decrease in thyroid hormones. In the United States, where the use of iodized salt is common, goiters are triggered by problems that change thyroid function or aspects that influence thyroid growth. Lots of people with goiters have no signs or symptoms besides a swelling at the base of the neck.
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