Ge-Ann Dela Pena, seeking help with her medical condition suffered toxic goiter.Enlargement of the thyroid (goiter) and lumps within it (nodules) are both relatively common. They may be obvious to the naked eye or can be found incidentally by imaging studies of the neck, such as a sonogram of the carotid arteries or a CT or MR of the spine. Most goiters and thyroid nodules will not interfere with a person's health.OverviewGoiters and thyroid nodules causing unwanted symptoms or adversely affect a person's health require treatment, often thyroid surgery. These situations include:Large goiters that are uncomfortable or cause breathing difficulties or swallowing.Multinodular goiters, particularly those that constrict airways, the esophagus or blood vessels.Thyroid nodules that have an indeterminate diagnosis or are deemed suspicious for cancer after biopsy.Nodular goiter causing hyperthyroidism (overactive thyroid) where treatment with radioactive iodine or anti-thyroid medications are not an optionGoiters or nodules that are malignant (thyroid cancer)A thyroidectomy is a surgical procedure to remove all (total thyroidectomy) or part of the thyroid gland (partial thyroidectomy). Patients may also need to take the drug levothyroxine, an oral synthetic thyroid hormone, after surgery dependent on the how much of the gland is removed.
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