Doctor insights on:
Multinodular Thyroid Hyperplasia
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 moreSee 1 more doctor answer
Have hashi, both lobes show multiple well circumscribed hypoechoic, 1.6cm and 1.9cm.Multinodular hypervascular thyroid. Cause for further tests?
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
I recently was diagnosed with a 2.2 CM multinodular goiter on the right lobe of my thyroid. Does thyroid affect the immune system?
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