Toxic Multinodular Goiter

Question

Asked for Female, 81 Years

My grandmother aged 80 years has Toxic Multinodular Goiter as per TC 99 Thyroid Scan TC uptake (20 min) Right - 2.3% and Left 2% T3 -308 , T4 - 17.9 and TSH - < 0.01 . Hyperthyroidism Doctor has prescribed Neomercazole 10 mg for one and half month and sub total surgery. She has a enlarged gland from 10 years but no difficulty in eating or breathing but has problem waking, she gets breathless. Please suggest if surgery is really required or medicines are enough. She doesn't want to do surgery. Also should we start the medicine the doctor has given?

Answers (1)

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Dr. Suhas N Diabetologist 12 yrs exp Tumkur · Accepted Answer

Dr. Suhas N

Diabetologist 12 yrs exp Tumkur

hi, Noted that 80 years old female with Toxic Multi nodular goiter... 1. If its retrosternal extension may need surgery and till surgery need Neomercazole treatment 2. If no retrosternal extension... You can plan for Radio active iodine treatment followed by thyroxine replacement 3. or else just continuing Neomercazole is also ok.. if no allergic to it...

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