Doctor insights on:
Substernal Thyroid Goiter
I have thyroid goiter with positive thyroid antibodies; eurothyroid. Does this mean have autoimmune d/o?
Not necessarily: Euthyroid means that at the moment you do not have biochemical hypo or hyperthyroidism. Not everyone with positive thyroid antibodies develops autoimmune thyroid disease. However, given that we know that your antibodies are positive, i would have your thyroid tests monitored regularly. How often depends on your doctors opinion. I monitor people like you twice early. ...Read more
Usually not: Goiters usually grow out, not in, and do not affect vocal cords, trachea, or esophagus. Sometimes, big nodular goiters in the elderly can do this, but not usually. However, if the goiter is producing either hyper or hypothyroidism, that can certainly affect the vocal cords. Hypothyroidism could turn you from an alto into a tenor.... Or more. ...Read more
To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I
Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read moreSee 1 more doctor answer
Some are caused: By iodine deficiency, which is a reason for iodinized table salt...Those lacking seafood in the midwest and near west used to be so afflicted. Taking exogenous thyroid hormone (thyrolar, synthroid) may turn off TSH stimulation and reduce/diminish growth, but that is treatment rather than prevention. ...Read moreSee 1 more doctor answer
Not known: Decades ago iodine deficiency was a common cause. These days the cause of benign enlargement of the thyroid (goiter) is not known. A substernal goiter is an enlarged thyroid that extends from the neck into the chest. Anyone with an enlarged thyroid should have an ultrasound and most likely a needle biopsy of the gland. ...Read more
Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then i would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound. ...Read moreSee 1 more doctor answer
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