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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Multinodular Goiter?

I was diagnosed 3 years ago with a multinodule goiter, but now my endo is sending me to a surgeon because my thyroud has grown, isthmus 8mm up from 3, and I now have a new 3 mm hypoechoic nodule in th posterior aspect of the lower pole of the right lobe. he ordered the ct because I am having trouble swollowing, constantly sick and fatigue is worsening dispite levothyroxine. my wbc are high, neutrophils low and lymphocytes high, should i be concerned?
Mon, 20 Jul 2015
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Endocrinologist 's  Response
Multinodular goitre does not require surgery all the time unless is grows by more than 50 percent or if it shows suspicious of definite malignancy. Levothyroxine supplementation is no more advocated as the treatment to suppress growth in Multinodular goitre. Swallowing difficulty occurs only if there is enormous growth of thyroid and usually occurs very late with huge,goitre.
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What Causes Multinodular Goiter?

Multinodular goitre does not require surgery all the time unless is grows by more than 50 percent or if it shows suspicious of definite malignancy. Levothyroxine supplementation is no more advocated as the treatment to suppress growth in Multinodular goitre. Swallowing difficulty occurs only if there is enormous growth of thyroid and usually occurs very late with huge,goitre.