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Why is my doctor giving me thyroid medication for thyroid nodules

70 yr old, Female
70 yr old, Female
asked Dec 12 at 09:53AM in General Medicine
2 Answers
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    answered Dec 13 at 06:39PM
    Although it is now more controversial, the thought in the past was that prescribing thyroid medicine in someone with a nodule might help "shrink" the nodule for cosmetic purposes, and/or provide some evidence of "appropriate responsiveness" in considering the cancer risk from a nodule.
    These days, nodules that are greater than 1cm in size are evaluated for cancer potential with a fine needle aspiration instead of giving thyroid hormone to see if it shrinks, because it is clear that some cancerous nodules will "shrink" with thyroid hormone and thus the response can be decieving. If the nodule has already been biposied and found to be benign, it is still a bit controversial to prescribed thyroid hormone to shrink it because it runs the risk of raising the thyroid hormone level too high (hyeprthyroidism) with can be damaging to the bones and heart.
    As you can see, there are different approaches to the problem of thyroid nodules and some of these are more "style" and less "Science" based.
  • 1
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    answered Jan 18 at 08:19PM
    "Why is my doctor giving me thyroid medication for thyroid nodules?" That is an important question but one that shouldn't and really can't be fully answered on Medpedia. Physician education of the patient with regard to the nature and treatment of their disorder is as important in the practice of medicine as making the diagnosis and beginning treatment. Therefore, the question should really have been asked to and answered by the patient's own physician. The patient's understanding about their disease and their treatment is one major important factor to assure patient ongoing cooperation and compliance. There is no substitute. If the doctor can't explain, as a patient I would be concerned. Paternalism ("I know what is best for you so just do as I say") is no longer the mantra of modern physicians. ..Maurice.
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