Thyroid adenoma medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
===Management=== | ===Management=== | ||
* Most patients with thyroid adenoma can be managed by [[watchful waiting]] | * Most patients with thyroid adenoma can be managed by [[watchful waiting]] with regular monitoring.<ref name=Welker2003/> However, some patients still choose surgery after being fully informed of the risks.<ref name=Welker2003/> Regular monitoring mainly consists of watching for changes in nodule size and symptoms, and repeat ultrasonography or [[needle aspiration biopsy]] if the nodule grows.<ref name=Welker2003>Treatment section in: {{Cite journal | last1 = Welker | first1 = M. | last2 = Orlov | first2 = D. | title = Thyroid nodules | journal = American family physician | volume = 67 | issue = 3 | pages = 559–566 | year = 2003 | pmid = 12588078}} [http://www.aafp.org/afp/2003/0201/p559.html]</ref> | ||
* According to American Thyroid Association guidelines no further | * According to American Thyroid Association guidelines no further investigations are required for non-palpable nodules smaller than 1 cm with no clinical features and diagnosed via Imaging. | ||
* Regular follow-up with thorough physical examination and ultrasound is recommended. | |||
* Biopsy is recommended 6-12 months after diagnosis. | |||
* Beta blockers are used to treat symptoms in toxic patients. | * Beta blockers are used to treat symptoms in toxic patients. | ||
* Thyroxine supression therapy for benign theyroid adenoma have been recommended. | * Thyroxine supression therapy for benign theyroid adenoma have been recommended. | ||
* Injection of ethanol is sometimes used to shrink the tumor. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 07:10, 12 October 2015
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Overview
Medical Therapy
Management
- Most patients with thyroid adenoma can be managed by watchful waiting with regular monitoring.[1] However, some patients still choose surgery after being fully informed of the risks.[1] Regular monitoring mainly consists of watching for changes in nodule size and symptoms, and repeat ultrasonography or needle aspiration biopsy if the nodule grows.[1]
- According to American Thyroid Association guidelines no further investigations are required for non-palpable nodules smaller than 1 cm with no clinical features and diagnosed via Imaging.
- Regular follow-up with thorough physical examination and ultrasound is recommended.
- Biopsy is recommended 6-12 months after diagnosis.
- Beta blockers are used to treat symptoms in toxic patients.
- Thyroxine supression therapy for benign theyroid adenoma have been recommended.
- Injection of ethanol is sometimes used to shrink the tumor.