Doctor insights on:
Can Thyroid Nodules Shrink On Their Own
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 more
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
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 more
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
Part of the gland: They will move upward with the rest of the gland when you swallow, and you can move them just as you can move your larynx and trachea once you know your way around your neck. Your physician can help you make the distinction from a lymph node or other mass. ...Read more
Variable: Thyroid nodules are variable in their growth patterns. Some can grow quickly in size, particularly if there is a cystic component to the nodule. Your doctor will usually suggest an ultrasound to follow the growth of the nodule every 6 months to one year, depending on the level of suspicion. ...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 more
Luck of the draw: Some thyroid nodules are the result of radiation exposure (like chernobyl}. Many people form colloid cysts which are incidental and of no significance. Some may have a family history for a tendency of thyroid tumors. Whatever the cause, they need to be properly evaluated. ...Read more
Most: Thyroid nodules are benign some however can be cancerous. If you have a lump in your thyroid it should be followed closely by your doctor. Most benign thyroid nodules occur spontaneously without any known cause. As often happens with organs that have a secretory function (ie ovaries)fluid filled inclusions can form and grow. Follow-up with your treating physician. ...Read more
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