No atypia Atypia
ITGCN*
Totipotential tumor
cells (embryonal
carcinoma)
Seminoma
Embryonic
Extraembryonic
tissue germ cell
layers
Yolk sac
Teratoma
tumor
Chorio-
carcinoma
Secondary
Primary (Thyroid
(Extrathyroid
pathology;↓TSH)
pathology; ↑TSH)
Diffuse Toxic
Hyperfunctional TSH-secreting
Hyperplasia Hyperfunctional
multinodular pituitary
(Graves disease) thyroid adenoma
Goiter adenoma
85%
HYPERTHYROIDISM
Primary (Thyroid
Secondary
pathology;
(Extrathyroid
↑TSH); more
pathology; ↓TSH)
common
Congenital
Iatrogenic Hypothalamic
(Iodine Autoimmune
(Surgery and and pituitary
deficiency*, (Hashimoto)**
Radiation failure
Genetic)
HYPOTHYROIDISM
CEREBROVASCULAR DISEASES