Doctor insights on:
How To Shrink Multinodular Goiter
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. ...Read more
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? ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Risk of redo surgery: Second surgery or redo surgery carries increased risk because your surgeon is going through scarred tissue instead of normal anatomy. Typically the surgeon goes slower and small structures like nerves and parathyroid glands are a bit more difficult to identify. Risk depends on the first surgery. If you had one side/lobe removed and now need the other side removed, redo risk does not apply. ...Read more
My son has a nontoxic multinodular goiter, the tyroid is functioning but the antibody tpo are higher than 1000.Should he just be monitored?
Yes: It would be prudent to consult an endocrinologist to ascertain the frequency of visits and tests. He is at risk of thyroid function disorder. ...Read more
Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more
Sonar images: Ultrasound uses the variation in the 2 dimensional images produced by scanning the thyroid like a fisherman uses sonar to find a school of fish under his boat. Enough thyroid us's have been done to develop pictures of how big each part of the gland should be at a given age in a given condition. ...Read more
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism. If not Hashi's, what causes my Hypothyroidism? Pituitary?
I have a multinodular goiter, biggest nodule 1cm/exophytic. Repeat US in 6 months. Did not suggest aspiration. Should I worry about malignancy?
If I have a hemi thyroidectomy for nontoxic multinodular goiter, the other lobe that is already mild enlarged will grow faster and forms nodules?
Goiter: Yes, the other side of your thyroid may grow. If your doctor treats you with levothyroxine, it may not grow as much, but there is a risk of making you hyperthyroid. It sounds like the remaining lobe also has nodules. Presumably the removed thyroid was free of cancer; why was the surgery performed? You probably should see an endocrinologist. ...Read more
I had total thyroidectomy due to huge multinodular goiter with compression 1 week ago. Is a 1.5" diameter X 3" long swelling needing narcotics typical?
My tt report 1-hutrhel adenoma of right lobe with multinodular goiter, focal hyperplastic, involutional change 2-no malignancy seen is it bad? Tg is. 8
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