The natural history of benign goiter is usually slow growth of the nodules. Therefore, observation can be safe. MNG (multinodular goiter) is treated if there is a suspicion of the nodules harboring cancer, the goiter is growing quickly, or if the goiter's large size is causing compressive symptoms, such as hoarseness, difficulty swallowing, or difficulty breathing. Use of thyroid hormone to attempt to suppress and shrink MNG is not indicated and puts patients at risk for hyperthyroidism.
The natural history of benign goiter is usually slow growth of the
nodules. Therefore, observation can be safe. MNG (multinodular
goiter) is treated if there is a suspicion of the nodules harboring
cancer, the goiter is growing quickly, or...
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