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Suggest Treatment For Nodules On The Thyroid

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Posted on Thu, 17 Aug 2017
Question: I have 2 nodules on the left side of my thyroid. My doctor wants to remove my thyroid. Is there not another way to reduce the nodules besides surgery. she says the the radioactive iodine does not work
doctor
Answered by Dr. Mirjeta Guni (41 minutes later)
Brief Answer:
Thyroid nodules treatment;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
There are 2 treatment alternatives for thyroid nodules;
- Radioactive iodine ( when it is a hot nodules in thyroid scintiscan)
-Surgical removal (in nodules with suspicious characteristics in ultrasound or when the nodule is big and causes local compression in the adjacent structutes).
There are no other alternatives of treatment.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Mirjeta Guni (22 hours later)
They want to take out my whole thyroid. Why not just the nodules
doctor
Answered by Dr. Mirjeta Guni (18 hours later)
Brief Answer:
About thyroidectomy;

Detailed Answer:
Hi again,
It is not possible to remove only the nodules.
The removal of one thyroid lobe is the least surgical removal.
It is recommended in benign nodules.
If there are suspicious for malignancy or to prevent the nodules at the other lobe, total thyroidectomy is preferred.
Best wishes,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Mirjeta Guni (13 hours later)
What are the dangers of this surgery. I am 76. What if I did nothing
doctor
Answered by Dr. Mirjeta Guni (10 hours later)
Brief Answer:
About thyroid surgery;

Detailed Answer:
Hi again,
The most common side effects of thyroid surgery are; laryngeal nerve damage and a low calcium level ( in most cases is transitory).
Of course, there may be also complications of anestezia depending on other pathologies (if you have cardiac pathologies, diabetes ect).
If left untreated, there may be complications if any of them has malignant origin, of course is the risk of metastasis.
At the other side is important to know if you have symptoms of adjacent structures compression (cough, difficulty in breathing or swallowing), the nodules may increase further and worse the symptoms.
So, your treating physician can explain you in more details (depending on your exact diagnosis) the profits and risks of intervention.
Wish you good health.
Best wishes,
Dr.Mirjeta

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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Suggest Treatment For Nodules On The Thyroid

Brief Answer: Thyroid nodules treatment; Detailed Answer: Hello and thank you for asking! I have gone carefully through your concern. There are 2 treatment alternatives for thyroid nodules; - Radioactive iodine ( when it is a hot nodules in thyroid scintiscan) -Surgical removal (in nodules with suspicious characteristics in ultrasound or when the nodule is big and causes local compression in the adjacent structutes). There are no other alternatives of treatment. Kind regards, Dr.Mirjeta