Treatment Other Than Surgery To Treat Enlarged Nodules In The Thyroid Gland?
Hello doctor, I’m a 36-year-old woman, living in Lampung. I have a lump on my left neck. I went to a specialist in internal medicine. I was asked to do an ultrasound, from the results of ultrasound there were 3 small lumps in my thyroid, the largest one measuring approximately 7.2 x 6mm located on the lower left of Adam’s apple. After seeing the results of the ultrasound, the doctor said the position of the lump was normal. Then the doctor directed me to do a lab check to find out if his function was hyper or hypo. After doing a lab check, the doctor said the function was good. It was concluded that the lump of the dilher was a gland or tumor. the doctor said that as long as it did not interfere, there was no need for surgery as long as the lump was still safe, and I was forbidden to press or touch the lump. But the doctor also advised me to do the surgery because the size is still small and if it feels disturbing appearance. But in addition to expensive costs I don’t risk post surgery. But I’m also afraid that if left unchecked it will get bigger. My question is, is there any other action besides surgery to remove the lump. Thank you in advance doctor.
Good afternoon, thanks for the question
Non toxic toxic nodules are enlarged nodules in the thyroid gland without accompanied by thyroid dysfunction. Some other risk factors for the occurrence of non-toxic goitre include gender, age, and consumption
Surgery is the standard treatment for this non-toxic nodalum. However, surgery on a large sized goitre is not without risk, especially in elderly patients and patients with a history of lung and heart disease.
Therefore in these conditions alternative therapies other than surgery can be recommended, namely using nuclear or radio-iodine. According to research this therapy can reduce the volume of goitre by up to 40% in the first year and reduce existing symptoms. The risk is minimal (the risk of thyroiditis or hyperthyroidism) and does not cause cancer.
For each patient with a non-toxic multinodular goitre, the advantages and disadvantages of each treatment method must be considered according to the patient's medical condition. In young patients the main therapy is still recommended surgery, especially if the amount of radio-iodine needed is large enough in the case of multinodular goitre.
Therefore, we recommend that you continue to consult with the surgeon who is treating you. Doctors will generally still provide other alternative treatments along with the advantages and disadvantages, but the patient and family will still decide what therapy will be chosen.
That's all, hope you can help. Wassalam.