Nontoxic Nodular Goiter Treatment
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How to Treat Nontoxic Nodular Goiter
Nontoxic goiters usually grow very slowly. They may not cause any symptoms. In this case they do not need treatment.
Treatment may be needed if the goiter grows rapidly, affects your neck or obstructs your breathing.
If a nontoxic goiter progresses to the nodular stage, and the nodule is found to be cancerous, you will need treatment. Talk with your doctor about the best plan for you. Treatment options include the following:
Hormone Suppression Therapy
Thyroid hormone medication is used to suppress secretion of thyrotropin (TSH). TSH is the thyroid-stimulating hormone that causes growth. This therapy is most effective for early stage goiters that have grown due to impaired hormone production. It is less effective for goiters that have progressed to the nodular stage.
Radioactive Iodine
Radioactive iodine treatment is used to reduce the size of large goiter. It is used in the elderly when surgical treatment is not an option.
Thyroidectomy
A surgery to remove a portion or all of the thyroid gland. It is the treatment of choice if the goiter is so large to cause difficulty in breathing or swallowing.
