Question 1

what is a multinodular goiter?

Accepted Answer

Large thyroid lumps: A 'goiter' refers to an enlarged thyroid gland. A multi-nodular goiter is usually diagnosed on an ultrasound scan when many lumps or 'nodules' are seen. Typically these are benign. 3 things to consider for nodular goiter: 1) big enough overall to cause problems with swallowing, voice, or breathing?  2) do nodules over-produce thyroid hormone?   3) are any of the larger or irregular nodules cancer?

Question 2

how is the diagnosis of  multinodular goiter made?

Accepted Answer

Exam or ultrasound: Sometimes the diagnosis can be made on the basis of the physical examination alone; in other cases an ultrasound of the thyroid may be required to demonstrate the multi nodular nature of the gland.

Question 3

i have a multinodular goiter and thyroiditis, what are the chances of it being cancerous?

Accepted Answer

7% to17 % chance: Most of the multinodular goiters are benign but may associated with occult (hidden ) cancers in 7 to 17%  cases, treating  by early detection will cure.

Question 4

is  multinodular goiter preventable?

Accepted Answer

Unknown.: Unfortunately, the reasons for nodule development in the thyroid gland are not well understood.

Question 5

how to shrink multinodular goiter without surgery?

Accepted Answer

Goiter/FNA: The cause of your goiter determines the possible therapies and yes it can be treated medically. Overall size, compression, response to medical therapy, fna biopsy, cancer are important so work with your team of docs. A surgery consult can give you lots of information about the risk/benefit of therapy with surgery. You have choices, good luck.

Question 6

38 yo female with a nontoxic multinodular goiter 5-6x bigger than normal. could it stop growing or shrink on its own? dx 20 years ago - slow growing

Accepted Answer

More information: is needed...has this individual had THYROID HORMONE replacement therapy??/ This generally will "shrink" NTMG ...and if not thyroid surgery is generally offered!

Hope this is helpful'
Dr Z

Question 7

her ultrasound says it's a multinodular goiter. what is that?

Accepted Answer

See below: Goiter is an enlargement of the thyroid gland. The gland can be generally enlarged or have multiple growths (nodules) leading to enlargement of the whole thyroid gland. The latter is termed multinodular goiter. The nodules are generally benign (noncancerous). The ultrasound appearance is correlated with how well the thyroid works using blood tests of thyroid function.

Question 8

what is the best way to treat toxic multinodular goiter?

Accepted Answer

Options: The "best" way will depend on your current clinical, and social circumstances.  Your options include1) antithyroid pill to control the thyroid level, 2)radioactive iodine and 3) surgery.  Choice 2 and 3 are considered curative options but you need to discuss the pros and cons of these options with your own physician who knows you best.  Good luck.

Question 9

what are the risks associated with a 2nd surgery for a moderate multinodular goiter?

Accepted Answer

There are several: Someone who has had prior thyroid surgery will have a lot of scarring or fibrosis in the area. This greatly increases the risk of damage to the parathyroid glands that control calcium metabolism, or to nerves that control the vocal cords and speaking voice in a second surgery.  Also, if the thyroid extends down into the chest, the surgeon is more like to need to cut bones to enter the chest.

Question 10

i'm wondering are hashimoto's disease and multinodular goiter linked together?

Accepted Answer

They Can Be!: Whenever the thyroid is under an autoimmune attack, the possibility of developing a multinodular goiter is significantly increased. Whether the goiter and nodules are from Hashimoto's or not, they need to be addressed and appropriately treated.

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Why multinodular goiter is dangerous

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What is a multinodular goiter?

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How is the diagnosis of multinodular goiter made?

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I have a multinodular goiter and thyroiditis, what are the chances of it being cancerous?

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Is multinodular goiter preventable?

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How to shrink multinodular goiter without surgery?

A member asked:

38 yo female with a nontoxic multinodular goiter 5-6x bigger than normal. could it stop growing or shrink on its own? dx 20 years ago - slow growing

A member asked:

Her ultrasound says it's a multinodular goiter. what is that?

A member asked:

What is the best way to treat toxic multinodular goiter?

A member asked:

What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

A member asked:

I'm wondering are hashimoto's disease and multinodular goiter linked together?

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