Multinodular goitre is common and often asymptomatic — but a proportion need surgery. Here is when and why.
What is multinodular goitre?
A thyroid containing multiple nodules. The risk of malignancy in any single nodule is similar to a solitary nodule.
Symptoms that need surgery
Difficulty swallowing, breathing discomfort, voice change, cosmetic concern or rapid growth.
Investigations
TSH, ultrasound, FNAC of dominant or suspicious nodules and CT for retrosternal extension.
Surgical approach
Total thyroidectomy is usually preferred over subtotal procedures to avoid recurrence in the residual gland.
Outcomes
Symptom relief is excellent. Lifelong levothyroxine is required.
Frequently Asked Questions
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thyroidectomy
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