Thyroid neoplasm The first step in diagnosing a thyroid neoplasm is a physical exam of the neck area. If any abnormalities exist, a doctor needs to be consulted. A family doctor may conduct blood tests, an ultrasound, and nuclear scan as steps to a diagnosis. The results from these tests are then read by an endocrinologist who will determine what problems the thyroid has. Hyperthyroidism and hypothyroidism are two conditions that often arise from an abnormally functioning thyroid gland. These occur when the thyroid is producing too much or too little thyroid hormone respectively. Thyroid nodules are a major presentation of thyroid
Thyroid peroxidase Thyroid peroxidase Thyroid peroxidase, also called thyroperoxidase (TPO) or iodide peroxidase, is an enzyme expressed mainly in the thyroid where it is secreted into colloid. Thyroid peroxidase oxidizes iodide ions to form iodine atoms for addition onto tyrosine residues on thyroglobulin for the production of thyroxine (T) or triiodothyronine (T), the thyroid hormones. In humans, thyroperoxidase is encoded by the "TPO" gene. + I + H+ HO ⇒ + 2 HO Iodide is oxidized to iodine radical which immediately reacts with tyrosine. The second iodine atom is added in similar manner to the reaction intermediate 3-iodotyrosine. Inorganic iodine enters the