How do you manage multinodular goitre?
Patients with multinodular goitre will also respond to thionamide medication, but definitive treatment with surgery is generally preferred. Radioactive iodine is another option and reduces goitre size by about 50% in the majority of patients over 6–12 months.
How is multinodular thyroid treated?
Treatment
- Radioiodine therapy. One treatment for both toxic and non-toxic goiters is radioiodine therapy.
- Thyroid medication. If the goiter and its nodules are relatively small in size, a doctor may recommend taking a thyroid hormone medication, such as levothyroxine (Synthroid).
- Thyroidectomy.
What happens when you have multiple nodules on your thyroid?
In some cases, thyroid nodules produce additional thyroxine, a hormone secreted by your thyroid gland. The extra thyroxine can cause symptoms of an overproduction of thyroid hormones (hyperthyroidism), such as: Unexplained weight loss. Increased sweating.
What is surgical management of goiter?
During surgery, the surgeon makes a cut in the front of your neck so they can see your thyroid gland. How much of the thyroid gland is removed depends on the underlying condition causing the goitre. The procedure reduces the size of your goitre and the amount of thyroid hormones being produced.
What is a multinodular thyroid gland?
An enlarged thyroid gland is called a goiter. One type of goiter is a multinodular goiter, in which an enlarged thyroid will have separate bumps (nodules) on it. Most multinodular goiters don’t cause symptoms. The cause is usually unknown. Multinodular goiters are associated with a higher risk of thyroid cancer.
What is considered a large nodule on thyroid?
Large thyroid nodules (>4 cm) are frequently referred for surgical removal because of concern for cancer, even if they demonstrate no structural impingement upon surrounding neck structures (14–16).
Should a multinodular goiter be removed?
Most patients need no treatment. Occasionally, surgery to remove all or most of the thyroid can be carried out, particularly if a multinodular goitre is large and the patient feels it is unsightly. However, removing a normally functioning gland can leave a patient requiring thyroxine for life.
What is multinodular goiter surgery?
Conclusions Multinodular goiter with compression symptoms occurs in long-evolving goiters with an intrathoracic component. Surgery is the definitive treatment, as it excludes malignancy, involves low rates of permanent morbidity and mortality, and, if the technique is total thyroidectomy, avoids recurrences.
How do you treat goitre without surgery?
These drugs include methimazole (Tapazole®) and propylthiouracil. Your provider might prescribe aspirin or a corticosteroid medication if the goiter is caused by inflammation. Radioactive iodine treatment: This treatment, used in cases of an overactive thyroid gland, involves taking radioactive iodine orally.
What is the best medication for goiter?
The most commonly used drug, methimazole (Tapazole), may also reduce the size of the goiter. For blocking hormone activities. Your health care provider may prescribe a drug called a beta blocker for managing symptoms of hyperthyroidism.