I have thyroid nodules in both lobes - one is 4x4 mm and the other is 1x1 mm on the right side. The FNAC report suggests excision biopsy for possible papillary carcinoma, but my thyroid is enlarged with normal T3/T4 and TSH at 5.02 which is almost at the upper limit. Is thyroidectomy absolutely necessary or are there other treatment options to shrink these nodules without surgery?

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Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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thyroidectomy (thyroid removal surgery) may be necessary for larger or suspicious nodules, especially if the FNAC report suggests possible papillary carcinoma, other treatment options, such as watchful waiting, thyroid hormone therapy, or radiofrequency ablation (RFA), are available to shrink or manage thyroid nodules. The decision of whether to proceed with thyroidectomy or other treatments will depend on the size, nature, and suspiciousness of the nodules, as well as the patient's overall health and preferences.

Dr. Kamran Suggests...

Consult a Endocrinologist

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Answered 14/08/2025

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