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How to treat a large thyroid nodule?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a large thyroid nodule. What can I do and what treatment can I get?

Please help.

Answered by Dr. Thiyagarajan. T

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

Before I proceed, I want to clarify something. As for the nodule: since it has increased in size in 1 dimension, although not to a significant degree and possibly due to small measurement errors, since it is large and may be growing, I suggest treating it rather than watching it. Also, I do not know if the nodule, besides having cosmetic concerns, causes any compressive symptoms. I recommend left-side removal and lobectomy rather than other modes of treatment like laser or microwave ablation. If you are unwilling to undergo surgery, you can repeat the scan after six to 12 months and consider repeating the FNAC (fine needle aspiration cytology) if it grows. After reviewing the images (TIRADS score) and clarifying the radioactive iodine treatment history, and maybe a repeat FNAC, we can also consider thermal ablation procedures such as laser and microwave.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 8, 2024
Reviewed At March 10, 2026

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

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