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Dr. Andrew Rynne

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Suggest Treatment For Multinodular Goiter

hello I have miltinodular goiters, have had 2 biopsys both showed no malignancy. I have had these since 2004 and is recommended that I have surgery, I would like to know other options like the radioactive pill or any other options. the last biopsy showed hashimos.
Tue, 30 Dec 2014
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Endocrinologist,  's  Response
Welcome to HCM. I had gone through your question and understand your concerns.

The options in multinodular goiter depends on whether you have to keep it or take it out.

The indications of surgery are:
1. Size more than 4 cm
2. Any difficulty like swallowing or breathing difficulty
3. Presence of cancer in needle biopsy
4. Swelling extending to chest cage

The ideal treatment if you decide to take the nodule out is surgery.

Other less preferred options include
1. Radio iodine treatment
2. Alcohol injection
3. Radio frequency ablation

All these treatment are less effective when compared surgery


Hope I have answered your question. If you have any further questions I will be happy to help.


Regards
Dr Ajish TP
Consultant Endocrinologist
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Suggest Treatment For Multinodular Goiter

Welcome to HCM. I had gone through your question and understand your concerns. The options in multinodular goiter depends on whether you have to keep it or take it out. The indications of surgery are: 1. Size more than 4 cm 2. Any difficulty like swallowing or breathing difficulty 3. Presence of cancer in needle biopsy 4. Swelling extending to chest cage The ideal treatment if you decide to take the nodule out is surgery. Other less preferred options include 1. Radio iodine treatment 2. Alcohol injection 3. Radio frequency ablation All these treatment are less effective when compared surgery Hope I have answered your question. If you have any further questions I will be happy to help. Regards Dr Ajish TP Consultant Endocrinologist