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Thyroid swelling
69-year-old female with a long-standing multinodular goiter. Ultrasound (7 months ago) showed a markedly enlarged left thyroid lobe (11 cm) with a 5.5 × 3.9 cm TI-RADS 3 solid nodule and a 1.3 × 1 cm TI-RADS 4 peripherally calcified nodule. Trachea is deviated to the right. No cervical lymphadenopathy or retrosternal extension. Previous FNAC/biopsy was benign. TSH: 0.87 mIU/L. She has been taking Carbimazole 5 mg once daily and Propranolol LA 20 mg once daily for the past 7 months. She currently prefers to avoid surgery and doctor advised her on regular check up. Is it okay for her to continue the medicine or surgery the only option. Please reply
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.
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Surgery
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Meds can be used
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Surgery is the best option.
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These symptoms need a proper history and examination to reach the correct diagnosis. If you'd like, you can book an online consultation with me—I can review your symptoms and reports in detail and guide you on the appropriate investigations and treatment, helping you avoid unnecessary tests.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.