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Doctor insights on: Multinodular Thyroid Hyperplasia

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Dr. Barbara Lavi
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


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Can size of thyroid multinodular goiter be reduced?

Can size of thyroid multinodular goiter be reduced?

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

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Can you tell me exactly when is it time to surgically remove the thyroid gland due to multinodular thyroid disease?

Can you tell me exactly when is it time to surgically remove the thyroid gland due to multinodular thyroid disease?

Concern for Cancer: Generally only if there is concern for a potential thyroid cancer (i.e. A nodule is enlarging on ultrasound or a needle biopsy suggests cancer). Occasionally, the thyroid is also removed if it becomes very large and is pressing on other structures (e.g. The airway), though this is rarely necessary. ...Read more

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Thyroid us showed multinodular thyroid with two nodules on right measuring 1.5 centimeters. Can this cause some slight swallowing difficulty?

Possible: Depends on where the nodules are located, they could cause slight problem swallowing. You should follow them closely with ultrasounds to make sure they are not growing, consider biopsy. ...Read more

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Test results are multinodular goiter so radionuclide thyroid scan?

Test results are multinodular goiter so radionuclide thyroid scan?

Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read more

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I recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does thyroid affect the immune system?

Generally not: Not unless it's not functioning properly, which is different that it it has a nodule. If the nodule itself is 2.2 cm, then it needs to be biopsied. ...Read more

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Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read more

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Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?

Recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does your thyroid affect the immune system?

Autoimmune diseases: A goiter does not make you more susceptible to infections, if that is your question. But a common cause of goiter is hashimoto's thyroiditis, which is an autoimmune dysfunction of your thyroid. In most people with hashimotos, only the thyroid is affected. ...Read more

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My gp can't get my thyroid levels under control (thyroidectomy ten years ago due to multinodular thyroid disease, ? Will an endocrinologist do?

My gp can't get my thyroid levels under control (thyroidectomy ten years ago due to multinodular thyroid disease, ? Will an endocrinologist do?

Endocrine: An endocrinologist is specifically trained to think out of the box and treat your thyroid and associated conditions. You likely have hashimotos disease causing your multiple modular goiter. This is an autoimmune disorder associated with many others. Seek out a board-certified physician if possible. ...Read more

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