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Goiter 4 inches; is surgery necessary?


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Old 09-11-2008, 10:40 AM   #1
cas526
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Goiter 4 inches; is surgery necessary?

I have been told that I have a goiter on my thyroid. I have had 2 sonograms; at my last sonogram, I was told the goiter had grown since the last sonogram. It is now 4 inches. is this large? I do not know what it was after the first sonogram, only know (from the technician) that it has grown. My MD is suggesting I see an endocrinologist; will medication shrink this or is surgery necessary?

 
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Old 09-11-2008, 10:48 AM   #2
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Re: Goiter 4 inches; is surgery necessary?

4 inches, or 4 centimeters? I think a normal sized thyroid is about 4 centimeters, and if yours is 4 inches it seems very enlarged.

An endo doesn't do surgery, but s/he might try to shrink it with meds (doesn't always work) if it's causing you discomfort, and/or refer you to a surgeon.

 
Old 09-11-2008, 11:30 AM   #3
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Re: Goiter 4 inches; is surgery necessary?

I was told 4 inches.

 
Old 09-11-2008, 01:56 PM   #4
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Re: Goiter 4 inches; is surgery necessary?

I'm surprised that puppy still fits within your neck! Four inches would be enormous. I'd be surprised if medication would shrink a gland of that size, but it can't hurt to try.

 
Old 09-11-2008, 02:51 PM   #5
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Re: Goiter 4 inches; is surgery necessary?

Thats about the size as mine was. I opted to get it removed and when I did the surgeon told me I'd made the right choice as there was no room left in there (surprisingly I didnt really get any symptoms of choking etc.
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Old 09-11-2008, 06:25 PM   #6
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Re: Goiter 4 inches; is surgery necessary?

I have a goiter as well as other nodules. My older Endo. wants to suppress my thyroid by giving me high doses of Synthyroid. Neither the nodules or the goiter are causing any symptoms. High doses of Synthroid will make me slightly hyperthyroid. I've been hyperthyroid twice & don't relish that again. Then there is the risk of osteroporosis, heart complications if one is over 60 yrs. My 2nd Endo doesn't think it would be wise. I've read that taking high doses of Synthyroid doesn't always shrink the gland. For now I'm just watching it with Ultrasound. Fam

 
Old 09-11-2008, 06:57 PM   #7
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Re: Goiter 4 inches; is surgery necessary?

Get a copy of the ultrasound report so you can read for yourself. Thyroid surgery is not always a "walk in the park." My motto is always to prepare for the worst & expect the best. There can be vocal chord damage, parathyroid damage (calcium issues), & the resulting blood calcium regulating issues. My daughter is going through that right now. You have the weigh the benefit versus the risk. This is what I am doing right now as I await my next ultrasound.

Biospies may or may not be correct because it depends on the tissue taken. What the goiter or nodule is is only known when the whole gland is out. Some of the thyroid cancers look so similar.

Any nodule over 1cm carries the risk of spreading if it is cancer.

I know what you mean about Dr's telling you different stories. My Endo called me after my ultra sound & said I must have surgery whereas the surgeon laughed & wondered why I was even at his office. I knew I was at risk because of having thyroiditis & having a daughter with thyroid cancer so I wasn't too upsett with the first Endo. He was a little miffed that I got still another opinion from a 2nd End. who said to take high doses of Synthroid. The 1st Endo said that if I saw 4 or 5 Endos I would probably get that many opinions. Guess we all need to go to medical school Fam

 
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