HomeAnswersEndocrinologymultinodular goitreI have been diagnosed with benign multinodular goiter. How to manage it?

I have a benign multinodular goiter. Is there a need for thyroidectomy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At May 22, 2017
Reviewed AtMay 31, 2023

Patient's Query

Hi doctor,

I have been recently diagnosed with multinodular goiter and have done FNAC, which turned to be benign. Is there any other way to get rid of the enlargement of the goiter and the nodules? My thyroid is full of them ranging from 0.5 to 0.9 mm. What should I do? I feel lost, and I have a continuous feeling of unbalance and dizziness, even though my thyroid is working well and producing normal hormones. Why is it so?

Hi,

Welcome to icliniq.com.

Can I see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness?

Patient's Query

Hi doctor,

Thank you for replying. I have attached my reports. I do not have any family history of thyroid disease.

Hi,

Welcome back to icliniq.com.

I have gone through all the reports that you have sent (attachment removed to protect patient identity). I do not see any major worry. It looks like you are on the heavier side, and losing some weight will sure help with all your symptoms. I suggest you try taking Vitamin D powder once a week for ten weeks. For dizziness, you need do some neck exercises, and I would also suggest you consult an ENT specialist.

Patient's Query

Hello doctor,

Thank you for your prompt reply. Is there no need for thyroidectomy?

Hello,

Welcome back to icliniq.com. The thyroid nodules size are less than 0.3 inch and they are benign, so why do you want surgery? Surgery is indicated for big sized nodules only. Has your doctor suggested surgery?

Patient's Query

Hello doctor,

Thank you for your suggestions. Yes, my endocrinologist suggested surgery for three nodules.

Hello,

Welcome back to icliniq.com.

I have six years of endocrinology practice to back my knowledge. The only reason why your doctor suggested surgery is because of micro calcifications. But even then I would wait for another three months and repeat an ultrasound and FNAC, before taking the decision to go ahead for a thyroid surgery.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Swaraj Waddankeri

Endocrinology

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