A 61-Year-Old Woman with Nontoxic Nodular Goiter Is Scheduled for a Subtotal

A 61-year-old woman with nontoxic nodular goiter is scheduled for a subtotal thyroidectomy to relieve esophageal obstruction and rule out a malignant nodule.Select the statement that best describes the patient's thyroid dysfunction and cause.

A) Hypothyroidism resulting from inflammatory impairment of cells that produce hormones
B) Hyperthyroidism resulting from overproduction of enlarged normal thyroid cells
C) Hypothyroidism resulting from insufficient hormone production, increasing thyroid tissue proliferation
D) Hyperthyroidism resulting from malignant spread of mutated hormone-producing tissue