August 30, 2015
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Thyroid Nodules (cont.)

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What is the treatment for thyroid nodules?

Follicular adenomas are difficult to distinguish from follicular cancers. Follicular nodules, other nodules highly suspicious for cancer and definite cancer should be treated by surgery. Most thyroid cancers are curable and rarely cause life-threatening problems. Any nodule not removed needs to be watched closely by follow-up with the physician every 6 to 12 months. This follow-up may involve a physical examination, ultrasound examination, or both. Occasionally, a physician may attempt to shrink the nodule by using suppressive doses of thyroid hormone. Some physicians believe that if a nodule shrinks on suppressive therapy, it is more likely to be benign. Recent large studies have shown that treating with thyroid suppression does not make a difference.

If a nodule causes hyperthyroidism, it is usually noncancerous. Treatment is aimed at preventing the signs, symptoms, and complications of hyperthyroidism, such as heart failure, osteoporosis,, and rapid heart rate. Treatments include destroying the gland using radioactive iodine (131-iodine), blocking production of thyroid hormone with medications, or conservatively following the patient with mild hyperthyroidism. "Subclinical hyperthyroidism" refers to an adult patient with a hyperfunctioning nodule, but TSH is minimally suppressed and the blood levels of thyroid hormones are normal. Treatment is individualized based on age, presence of other medical conditions, and patient preference.

Medically reviewed by John A. Seibel, MD; Board-Certified Internal Medicine with a subspecialty in Endocrinology & Metabolism

REFERENCE:

"Patient information: Thyroid nodules (Beyond the Basics)"
UptoDate.com


Medically Reviewed by a Doctor on 2/11/2015

Source: MedicineNet.com
http://www.medicinenet.com/thyroid_nodules/article.htm

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