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Doctor insights on: Thyroid Mass Multinodular With Goiter

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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

Dr. Steve Martinez
306 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...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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US shows Multinodular thyroid (.6 cm, .4 cm)goiter but predominate solid nodule is 3.2cm has new calcific and increased vascularity what does this mean?

Needs further workup: Any nodule over 1cm should undergo at the very minimum a fine needle aspiration biopsy. A recommendation may also be made to bypass the needle biopsy and proceed to thyroidectomy given the new calcifications which place the nodule in a higher risk category. Discuss these and other options with your primary care physician and/or specialist. ...Read more

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How is thyroid ultrasound used to diagnose a multinodular goiter?

How is thyroid ultrasound used to diagnose a multinodular goiter?

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

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Why do the nodules of a multinodular goiter not show up on a i-123 thyroid uptake scan?

Scan shows activity: A thyroid scan looks for functioning thyroid tissue. Much of a multinodular goiter can be nonfunctional and thus not show up well or will blend into the background thyroid tissue. ...Read more

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How often should a thyroid sonogram be repeated? Sono done 1 year ago showed heterogeneous multinodular goiter.

How often should a thyroid sonogram be repeated? Sono done 1 year ago showed heterogeneous multinodular goiter.

It depends: Upon a variety of factors, such as clinical changes, palpation by physician, prior ultrasound and lab findings, biopsy findings (if biopsy was done), personal and family history etc. Check w/your physician who should be able to tell you. Brand name T4 replacement is more reliable than your generic. ...Read more

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I have multinodular goiter with two nodules measuring 10 mm and 11 mm on each lobe, then there are scattered ones throughout my thyroid. Biopsy?

Depends: The decision to biopsy is made between you and your treating physician. It depends on your level of comfort, what it looks like on ultrasound and whether or not it had changed from previous ultrasounds. Your choice right now is to undergo biopsy or do another ultrasound in 1 year and biopsy only if changes are seen. Both choices are reasonable. ...Read more

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Dr. Marvin Ott
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