COVID-19 Update:


Century is committed to keeping our patients safe.  We're following the recommendations of the Centers for Disease Control and Illinois Department of Public Health.  This includes social distancing, using TeleMedicine virtual visits and scheduling patients by priority.  To reduce the volume in our waiting room and the potential risk of infection, we will be migrating towards pre-screened urgent health visits or TeleHealth visits.   We appreciate your understanding as we work to increase our capacity while keeping you safe.

If you are sick, have a fever, a newly presented dry cough, have travelled internationally, please do not visit the office.  Instead, call us to setup a TeleMedicine visit, or contact your Primary Care Physician for further instruction.  Century is not able to provide screening or testing for COVID-19. 

If you present with Ansomia (loss of smell) or Ageusia (Loss of taste), Have been COVID-19 Positive within the past 4 weeks, or have been in direct contact with someone who has tested positive, please do not enter the practice.  Let us know and we can recommend a Telemedicine visit.


 Click here for more info on TeleVisits   



Please continue to wear a mask or face covering.  Our office does not have face masks available.  e are asking that you leave family at home or in the car. 


If you are able, please print the Patient Packet at the bottom of this page and complete at home. 


STAFF WILL ONLY CALL BACK THE PATIENT TO BE SEEN.  Front desk staff will offer the option of returning to your car after check-in to be called back via your cell phone. 


We deeply appreciate your patience and understanding as we work to ensure your safety and the safety of our staff and their families.  


The thyroid is a butterfly-shaped gland located at the base of the front of the neck. It produces thyroid hormone, which controls your metabolism, temperature regulation, and keeps your muscles and organs working properly.

Goiter refers to an enlarged thyroid gland. A single or multiple nodules, Graves’ disease , and hyperthyroidism can all lead to the development of a goiter. A goiter can develop in one or both sides of the thyroid gland. In some people, the goiter will start to grow down into the chest. This is referred to as a substernal goiter.

What Are the Symptoms of Goiter?

Goiters can often be seen or felt as a lump or mass in the neck. As goiters become bigger they can put pressure on your windpipe (trachea) or food pipe (esophagus), causing symptoms such as:

  • Difficulty swallowing
  • Difficulty breathing (particularly when lying down)
  • Choking sensation
  • Pressure in the neck

What Causes Goiter?

In some parts of the world, goiters develop because of a lack of iodine in peoples’ diets. However, in the United States where iodine is added to salt, goiters are most often caused by other problems. A family history of goiter increases the risk of developing goiter.

What Are the Treatment Options?

When a patient starts to experience symptoms, treatment is often offered. The exact type of treatment is based on the cause of the goiter and the patient’s preferences. In some cases, thyroid surgery is the best treatment option. Discuss any possible symptoms or concerns you may have with your primary care provider, an endocrinologist, or an ENT (ear, nose, and throat) specialist, or otolaryngologist.

What Questions Should I Ask My Doctor?

  1. I have difficulty breathing or swallowing. Could this be related to a goiter?
  2. How big is my goiter?
  3. Do I need to treat it, or can I just watch it?


Copyright 2021. American Academy of Otolaryngology–Head and Neck Surgery Foundation. Last reviewed April 2020.