What is the best treatment for multinodular goiter?


  • Radioiodine therapy. One treatment for both toxic and non-toxic goiters is radioiodine therapy.
  • Thyroid medication. If the goiter and its nodules are relatively small in size, a doctor may recommend taking a thyroid hormone medication, such as levothyroxine (Synthroid).
  • Thyroidectomy.

How do you treat a multinodular goiter?

Multinodular goiters do increase your chance of developing thyroid cancer, but they can be treated with medication, radioactive iodine, or surgery depending on the type, if necessary.

Can multinodular goitre go away?

Most patients need no treatment. Occasionally, surgery to remove all or most of the thyroid can be carried out, particularly if a multinodular goitre is large and the patient feels it is unsightly. However, removing a normally functioning gland can leave a patient requiring thyroxine for life.

Can a multinodular goiter become cancerous?

Multinodular goiters (MNG) have recently been shown to have an incidence of cancer that approaches that of solitary thyroid nodule. However, fine needle aspiration (FNA) of a MNG is limited due to the presence of multiple nodules.

What is the best treatment for goiter?

Levothyroxine (Levothroid®, Synthroid®) is a thyroid hormone replacement therapy. It is prescribed if the cause of the goiter is an underactive thyroid (hypothyroidism). Other medications are prescribed if the cause of the goiter is an overactive thyroid (hyperthyroidism).

Does multinodular goiter need biopsy?

If a multinodular goiter has a predominant nodule, the predominant nodule should be biopsied. In conclusion, FNA of the thyroid is a safe, inexpensive, and effective way to distinguish a benign from a malignant nodule and usually should be the first diagnostic test performed.

At what size should a goiter be removed?

Although the fine needle aspiration (FNA) biopsy is still the gold standard workup for thyroid nodules, its accuracy declines as the size of the goiter increases. Therefore, once the goiter or the nodule is larger than 4cm, surgery is generally recommended.

What food is good for goiter?

If your goiter is caused by your diet, these suggestions can help: Get enough iodine. To ensure that you get enough iodine, use iodized salt or eat seafood or seaweed — sushi is a good source of seaweed — about twice a week. Shrimp and other shellfish are particularly high in iodine.

What food is not good for goiter?

enlarged thyroid gland (goiter)…Avoid other foods high in iodine such as:

  • milk and dairy.
  • cheese.
  • egg yolks.
  • iodized salt.
  • iodized water.
  • some food colorings.

When do you do a multinodular goiter biopsy?