Surgery for MNG (multinodular goiter) is indicated when FNA (fine needle aspiration) of a dominant nodule is suspicious for malignancy, the goiter is growing or is cosmetically unappealing, or there are compressive symptoms due to the size of the goiter. The extent of surgery is based on the suspicion for malignancy, presence of thyroid dysfunction, and presence of bilateral nodules. In patients who have normal thyroid function, with compressive symptoms due to a single nodule, with a benign biopsy, and no nodules on the opposite side, unilateral thyroid lobectomy is appropriate. Otherwise total thyroidectomy is the operation of choice.
Surgery for MNG (multinodular goiter) is indicated when FNA (fine
needle aspiration) of a dominant nodule is suspicious for
malignancy, the goiter is growing or is cosmetically unappealing,
or there are compressive symptoms due to the size of the...
More
Surgery for MNG (multinodular goiter) is indicated when FNA (fine needle aspiration) of a dominant nodule is suspicious for malignancy, the goiter is growing or is cosmetically unappealing, or there are compressive symptoms due to the size of the goiter. The extent of surgery is based on the suspicion for malignancy, presence of thyroid dysfunction, and presence of bilateral nodules. In patients who have normal thyroid function, with compressive symptoms due to a single nodule, with a benign biopsy, and no nodules on the opposite side, unilateral thyroid lobectomy is appropriate. Otherwise total thyroidectomy is the operation of choice.
