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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hyperthyroid. Surgery Needed To Remove Autoimmune Nodule Or Extraction Of Liquid Is Fine?

Hi,I have been diagnosed with hyperthyroid. I have an autoimmune functioning nodule which has increased in size. I got a thyroid scan done and also xray. The scan came out normal and my respiratory track is not getting pressed by the nodule. The FNAC report also suggests that the nodule is benign. So doctor now says that there is no need to go for surgery. The doctor said he woyld extract the liquid out of the nodule as and when it grows back.Do I need to get a surgery done to remove the nodule or regular extraction of liquid from nodule is fine?I have also been diagnosed with PCOD. My periods are regular but I have hair all over my body and on face.Doctor has prescribed cytomid 250mg for the same. I read that cytomid 250mg is not for women and it can some serious damage to the liver. Should I continue taking cytomid 250mg?
Mon, 28 Mar 2016
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Endocrinologist 's  Response
Welcome and thank you for using HCM!
I do understand your concerns and i am trying to give you some more information related to your diagnoses.
You reported that you are diagnosed with and hot nodule at scintiscan, which is responsible for your hyperthyroidism. In general, hot nodules have a very low possibility for malignancy and Fine Needle Biopsy Aspiration is not recommended for them.
The oral treatment of the hyperthyroidism usually lasts 12-18 months than a definite treatment is recommended, i.e radioactive iodine or the removal of the lobe where the nodule is with surgery.

Aspirating the liquid is not a solution, for two reasons:

1) You reported that you don't have local symptoms caused by the compression of the nodule.

2)The liquid may be produced again within 1 hour
The aspiration is not going to resolve the hyperthyroidism. It needs one of the two ways of treatment that i suggested above.

Hope my information will be somewhat helpful.

Kind regrads,
Dr.M.Guni
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Diagnosed With Hyperthyroid. Surgery Needed To Remove Autoimmune Nodule Or Extraction Of Liquid Is Fine?

Welcome and thank you for using HCM! I do understand your concerns and i am trying to give you some more information related to your diagnoses. You reported that you are diagnosed with and hot nodule at scintiscan, which is responsible for your hyperthyroidism. In general, hot nodules have a very low possibility for malignancy and Fine Needle Biopsy Aspiration is not recommended for them. The oral treatment of the hyperthyroidism usually lasts 12-18 months than a definite treatment is recommended, i.e radioactive iodine or the removal of the lobe where the nodule is with surgery. Aspirating the liquid is not a solution, for two reasons: 1) You reported that you don t have local symptoms caused by the compression of the nodule. 2)The liquid may be produced again within 1 hour The aspiration is not going to resolve the hyperthyroidism. It needs one of the two ways of treatment that i suggested above. Hope my information will be somewhat helpful. Kind regrads, Dr.M.Guni