Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
125 Doctors are Online

Diagnosis of multinodular goiter - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have recently benn diagnosed with multinodular goiter. Im a little concerned as to what I should be doing about it. The nodules are heterogeneous measuring 8mm 15mm 14mm and 16mm. There is also a fluid filled cyst that measures 13x17x19mm. The ultrasound comments are: Bilateral benign multinodular goitre, with a cluster of solid nodules and a fluid filled cyst in the lower right pole accounting for the patients palpable mass. What should I be doing in regards to this diagnosis how should I proceed. Im a single mother of 6 and am a little worried.
Doctor :   Hi,
Doctor :   Let me read your query for few minutes to be able to have a good discussion here
User :   hello
Doctor :   ok, the nodules can be either begnin or malignant ,
Doctor :   th scan has mentioned them being begnin
Doctor :   but i would ask you to get a radioactive iodine(isotope) scan
Doctor :   which will differentiate the nodules into hot ( malignant ) and cold (begnin ) nodules
Doctor :   the treatment form where differs
User :   Im a little worried because Ive been feeling a little pain in that area lately
Doctor :   its surgery followed by radiotherapy for a malignant one and medicinal treatment for the begnin type
Doctor :   pain could be due to pressure , pain do not indicate the prognosis of the nodules
User :   my doctor told me to see an endocrinologist and I cant afford one right now
User :   What should I do?
Doctor :   also you may have to get thyroid profile( 5thyroid hormone estimation ) so that if the nodules are begnin the right medicinal treatment modality can be chosen
Doctor :   thyroid hormone*
Doctor :   its very necessary to visit a endocruinologist
User :   I had a blood test done but did not fast would this affect the results?
Doctor :   no , may i know what blood tests did you go for ?
User :   A thyroid function test?
Doctor :   good , once you get the reports come on to the chat we can have a discussion and decide about the necessity of the endocrinologist
User :   The test results came back as normal thyroid function
Doctor :   i still am suspecting it to be begnin and non dangerous one
Doctor :   very much fine then ,
Doctor :   May i know the values please ?
User :   I dont have the results with me but my doctor said they were within normal range
User :   Should I be going back to her to discuss the endocrinologist and further tests?
Doctor :   ok, i would consider no problem in waiting for another 2 months to visit the endocrinologist
User :   These tests were done in September last year
Doctor :   if there is any increase in the size of the nodules ( testd by self) you may have to rush to the specialist
User :   should I go back immediately then?
Doctor :   i am sorry , i missed to ask the date ,
User :   September 23 2010
Doctor :   for now repeat the test and come back on to the chat with the report
User :   Ok thank you
Doctor :   lets have a detailed discussion over it
Doctor :   and may i know when was the scan done ?
User :   Ok I just worried because recent pain
Doctor :   pain as i said could be due to pressure
User :   the scan was september 23 2010
Doctor :   ok,
User :   pressure from what?
User :   the nodules?
Doctor :   no need of repeating the scan till you get the thyroid test ( hormonal)
User :   another blood test?
Doctor :   pressure by the nodules onto the surrounding tissue and also due to thyroglobulin fluid filling up in the nodule
User :   will that get worse?
Doctor :   yes, the test done in sep 2010 is old repeat again
Doctor :   no , the nodules can get bigger giving symptoms
User :   Ok thank you so much Ill book another appointment with doctor for test repeat
Doctor :   nothing else it could affect
Doctor :   yes,
User :   Good bye doctor have a nice day
Doctor :   get a thyroid test every 6 mon5hs p0nce to make sure that the hormone levels are noit altered by the nodules
Doctor :   months once*
Doctor :   not*
Doctor :   Bye for now]
Doctor :   Thanks for consulting me
Doctor :   Kindly provide your feedbac
Question is related to
Lab Tests
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor