Doctor insights on:
How Is Goiter Surgery Performed
Size: If the thyroid enlarges enough that it starts to cause swallowing difficulties, speaking difficulties, or breathing difficulties. Usually do not want to wait until the symptoms listed above are severe, or if it is so large that the surgery becomes more difficult. ...Read more
Depends: First - do you need the surgery? Second - is the surgeon trained to do a minimally invasive approach? Recovery from that is usually just a few hours vs overnight in the hospital for more conventional procedures. Make sure this is an experienced thyroid surgeon who knows his/her way around the neck. ...Read more
I have multinodular goiters only one has changed enlarged x2 within 6 months. Fnb neg. Also have hashimotoes some minor compression.Surgery or watch?
On right course: Your are already on right path, your doctor is following you in a correct way, your chances of being malignant is slight, your doctor already did fna biopsy to make sure it it is not malignant , you have no air way obstruction, no rush to go for surgery , right now. ...Read moreSee 1 more doctor answer
May need chest open: Also, if the thyroid now extends downward into the chest, there is a higher likelihood with a second procedure, that the surgeons would need to cut through the collarbone, breastbone, and/or upper ribs to remove all of the thyroid compared to a first procedure. ...Read moreSee 1 more doctor answer
Check out your level: Please be sure to have your thyroid hormone levels checked again. Maybe they are off and affecting your sleep. Otherwise, i can't explain any other reason for the surgery to affect your sleep this far out afterwards. Even when your levels are "normal", if you continue to not feel right, find an endocrinologist who will work with you until you feel right. Sometimes a medication switch is needed. ...Read moreSee 1 more doctor answer
Depends: Surgical indication for thyroid is based on size of the goiter, symptoms of obstruction, and the fna diagnosis. There are times when surgery is a benefit, best to take family/friend with you to surgery consult. In many cases medical therapy and observation is all that is needed. ...Read more
Yes: A multinodular goiter secondary to hashimoto's thyroiditis will likely decrease or stop functioning over time, but the bulkiness of the goiter does not usually become smaller. If the goiter is compressive and causes difficulty with swallowing or breathing, it should be surgically removed. Medical therapy is available to suppress the goiter and also to treat the hashimoto's. ...Read more
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