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What are treatment options for multinodular goiter?

If your thyroid is functioning at a normal level, you may not need treatment for a goiter. However, if your goiter is due to an underactive or overactive thyroid, you may need to take thyroid hormones to regulate its function. Radioactive iodine is another medication option to decrease the size of a goiter. If your goiter is so large that it is causing difficulty swallowing or breathing, your doctor may recommend surgery. In case of multinodular goiter, surgery can remove the specific nodules growing on your thyroid gland.

The appropriate treatment of a multinodular goiter depends on the size, how fast it is growing, the fine-needle aspiration biopsy (FNAB) results, risk of cancer, if there are compressive symptoms, and whether the goiter is big enough to be cosmetically unappealing. In general, if the goiter is growing quickly, growing steadily over time, is concerning for cancer, is causing compressive symptoms, is growing substernally, or is cosmetically unappealing, it should be removed (i.e. thyroidectomy).

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.