Doctor insights on:
Can A Thyroid Nodule Shrink
Yes: Yes, it can shrink. Most solid nodules are adenomas and are benign. If it shrinks that is a good sign...It is .Likely benign. It is the ones that get larger or are large when they are first found that need closer assessment. In this case a biopsy may be needed to assess more closely. Btw thyroid nodules are pretty common. ...Read more
Usually not: In the distant past, thyroid hormone was used to 'shrink' nodules. More recent studies with ultrasound monitoring has shown that most nodules do not shrink with thyroid hormone treatment. Because thyroid cancer is the fastest increasing cancer in women, it is important to follow most thyroid nodules with ultrasound. With hashimoto's thyroiditis, there can be false or pseudonodules. ...Read moreSee 1 more doctor answer
Depends on the cause: If a nodule is due to hashimoto's thyroiditis (inflammation caused by autoimmunity, where one's own immune system attacks one's proteins and tissues), then taking thyroid hormone pills can shrink it. If it's a tumor that's over-producing thyroid hormone, radioactive iodine can kill it, and make it smaller). Fluid-filled cysts can be drained with a needle, but may grow back. Cancer needs surgery. ...Read moreSee 2 more doctor answers
Depends on type: If cancer, surgical removal and then treatment, possibly with radioactive iodine. If benign, but causing hyperthyroidism, then treat with radioactive iodine, antithyroid medicines, or possibly surgery. If benign and not causing symptoms, can watch closely (after benign biopsy) or use thyroid medicine to suppress growth of the nodule. If it causes symptoms (trouble swallowing), surgery. ...Read more
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read moreSee 2 more doctor answers
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read moreSee 2 more doctor answers
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read moreSee 2 more doctor answers
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