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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Needed For A Small Nodule?

sir, I am having euro thyroid my free T3 free T4 and TSH all are normal. Even T3 T4 and ionic calcium are normal. I have a small nodule. Is it Ok we can remove that nodule by surgery or whether we can shrink the same thru medicine. Kindly suggest bec i do not want to go for surgery. Is that nodule cause any health problem in the long run
Thu, 27 Nov 2014
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Endocrinologist,  's  Response
Hi,

Welcome to HCM. I had gone through your question and understand your concerns.

Please let us know further details like size of the nodule and thyroid function tests. The need of surgery depends on several factors.

1. Size of nodule more than 4 cm
2. Needle biopsy suggestive or suspicious of cancer
3. Nodule extending behind your chest bones (retrosternal extension)
4. Significant pressure symptoms - like difficulty in speech, swallowing, neck pain etc

If you have any of these you should go for 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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Is Surgery Needed For A Small Nodule?

Hi, Welcome to HCM. I had gone through your question and understand your concerns. Please let us know further details like size of the nodule and thyroid function tests. The need of surgery depends on several factors. 1. Size of nodule more than 4 cm 2. Needle biopsy suggestive or suspicious of cancer 3. Nodule extending behind your chest bones (retrosternal extension) 4. Significant pressure symptoms - like difficulty in speech, swallowing, neck pain etc If you have any of these you should go for 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