Thyroid Goiter and Nodules 101: What you need to Know Part Two.

Thyroid Goiter and Nodules 101: What you need to Know Part Two.

Thyroid Goiter and Nodules 101: What you need to Know Part Two.

Thyroid Goiter and Nodules 101: What you need to Know Part Two: Treatment alternatives.

  1. Most small goiters without symptoms or nodules do not need treatment if there is no associated hypothyroidism from Hashimoto’s thyroiditis.
  2. Goiters producing excessive thyroid hormone are treated by several modalities.
  3. A toxic nodule can be removed by surgery or ablated by radiofrequency ablation RFA, or radioiodine.
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  5. Grave’s Goiter is usually ablated by radioiodine or surgery or treated with drugs.
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  8. Goiter nodules with benign biopsies can be followed.
  9. Some of these respond to thyroid hormone and can be tested to see if thyroid hormone can suppress growth by a 6 month trial and thyroglobulin TG tests before and after. Suppressed TG signals a good chance this treatment will help.
  10. Benign Goiter nodules with symptoms or cosmetic issues can be ablated by Ethanol PEI, Radiofrequency Ablation RFA or surgery.
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  12. Cancer nodules in a goiter can be treated by ablation if <1.5 cm, active surveillance, or thyroid surgery.
  13. Some cancers called follicular variant of papillary thyroid cancer can be treated with lobectomy and if no capsule invasion can be re-classified as a benign non-invasive follicular tumor with papillary like cells or NIFT-P.
  14. NIFT-P are not cancers and need no cancer surveillance.
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  16. Ablation by ethanol PEI or RFA is used in some small cancers instead or surgery.
  17. All alternative therapy options PEI/RFA/Active surveillance can be evaluated by me at 310-393-8860 or thyroid.manager@protonmail.com
  18. DR.G.
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