Toxic Adenoma or Multinodular Goiter Treatments
1.Surgery—rapid control, relief of symptoms,100% cure, definite pathology known, however, inpatient treatment, side effects of surgery.
2. Radioiodine—-outpatient therapy, easy to administer,however, slow to reach normal, variable goiter reduction, and lees effective in big toxic MNGoiters, long term risk of hypothyroidism
3. Antithyroid drugs—- short term only,easy to use.However, no remissions like Graves,side effects 1-5%, frequent follow up examinations.