Thyroid adenoma medical therapy
Overview
The mainstay of therapy for thyroid adenoma is regular monitoring and supportive therapy.
Medical Therapy
Management
- Most patients with thyroid adenoma can be managed by watchful waiting with regular monitoring.[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 by imaging.
- Regular follow-up with thorough physical examination and ultrasound is recommended to check for regrowth.
- Biopsy is recommended 6-12 months after diagnosis.
- Beta blockers are used to treat symptoms in toxic patients.
- Thyroxine supression therapy for benign thyroid adenoma has been recommended.
- Injection of ethanol is sometimes used to shrink the tumor.[2]
| Thyroid nodule | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Malignant | Benign | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Radioiodine therapy | Hyrperthyroidism evaluation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Hyperthyroidism | Euthyroid | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Antithyroid drugs | No medical treatment required Monitor nodule | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Treatment section in: Welker, M.; Orlov, D. (2003). “Thyroid nodules”. American family physician. 67 (3): 559–566. PMID 12588078. [1]
- ↑ Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE; et al. (2016). “2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer”. Thyroid. 26 (1): 1–133. doi:10.1089/thy.2015.0020. PMC 4739132. PMID 26462967.
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