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Doctor insights on: Toxic Multinodular Goiter

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What is the best way to treat toxic multinodular goiter?

What is the best way to treat toxic multinodular goiter?

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

Dr. Steve Martinez
311 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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What is the best way to treat toxic multinodular goiter?

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

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Hello: Had a total thyroidectomy Jan. 15, 2015 for non toxic multinodular goiter., I have been having nerve pain between my upper shoulder blades to middle of spine which started in December.. My upper shoulder to under arm aches or sharp pins and

Hello:  Had a total thyroidectomy Jan. 15, 2015  for  non toxic multinodular goiter.,    I have been having nerve pain between my upper shoulder blades to middle of spine which started  in December.. My upper shoulder to under arm aches or sharp pins and

Radiclopayhy?: it is extremely rare to have radiculopathy in that region only. I wonder if you have muscular spasm, worsened by laying flat for a long time during and after surgery. I would think PT OT chiro maybe helpful in ur case as well as rehab doctor evaluation. Take care! ...Read more

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Does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..Will i get pregnant?

Does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..Will i get pregnant?

Yes, it can.: Thyroid disease impacts fertility. Both elevated and low levels of thyroid hormone can have an impact. For this reason, you should continue your medication. (ptu (propylthiouracil) is better than mtx in pregnancy.) be sure to discuss these concerns with your physician. ...Read more

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Her ultrasound says it's a multinodular goiter. What is that?

Her ultrasound says it's a multinodular goiter. What is that?

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

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What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

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

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What is a multinodular goiter?

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

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How is the diagnosis of multinodular goiter made?

How is the diagnosis of  multinodular goiter made?

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

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Is multinodular goiter preventable?

Unknown.: Unfortunately, the reasons for nodule development in the thyroid gland are not well understood. ...Read more

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How to shrink multinodular goiter without surgery?

How to shrink multinodular goiter without surgery?

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

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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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I'm wondering are hashimoto's disease and multinodular goiter linked together?

They Can Be!: Whenever the thyroid is under an autoimmune attack, the possibility of developing a multinodular goiter is significantly increased. Whether the goiter and nodules are from Hashimoto's or not, they need to be addressed and appropriately treated. ...Read more

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I have a multinodular goiter and thyroiditis, what are the chances of it being cancerous?

I have a multinodular goiter and thyroiditis, what are the chances of it being cancerous?

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

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Solid hypoechoic heterogeneous nodule. 2.5cm & 1.5 cm. Multinodular goiter. No dominant nodule wasn't cold or hot what does this mean?

Needle biopsy: It sounds like you've had a thyroid ultrasound and a thyroid uptake scan. Most thyroid nodules are not cancerous, but it's recommended that nodules that look suspicious or larger than a certain size get a needle biopsy. Also called a fine needle aspiration. ...Read more

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I have a multinodular goiter, biggest nodule 1cm/exophytic. Repeat US in 6 months. Did not suggest aspiration. Should I worry about malignancy?

I have a multinodular goiter, biggest nodule 1cm/exophytic. Repeat US in 6 months. Did not suggest aspiration. Should I worry about malignancy?

Malignancy: No you should not worry about malignancy unless you really think something is wrong with your thyroid. It is difficult to feel comfortable about your goiter unless you get more complete information from your doctor. Please keep me informed! ...Read more