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Can Nodule Stay?
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Can Nodule Stay?

Have a "small" nodule on right thyroid (I think) which was found on an ultrasound after I complained about gaining 20-25 pounds almost overnight and arthritis and bone pain with quick onset.  It's going to be biopsied on the 25th after a scan next week.  Question--if it turns out to be benign, can it just stay there?  All of you who have had thyroid surgery--is this because yours was malignant or couldn't be controlled by medicine?  I guess I'm asking--what determines removal?
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Nodules are quite common occurring in more than 50% of the world's population and among  healthy thyroid people and they don't even know they have one.  
Most nodules are harmless and do not require any treatment at all unless the nodule is a hot nodules and/or causing hyperthyroidism.

If the nodule is benign and small, doctors might just want to monitor it to see if it grows and how fast.  
If benign some doctors will do TSH suppression with thyroid med.  
If benign and  it does grows fast doctors will want it out.
Some  nodules, I believe "hot" can be treated with RAI and  it does not damage healthy thyroid tissue, or at least not much of it.

Normally, nodules are biopsied if they show active growth or are unusually large. Also I have read where two Fine Needle Aspiration biopsy are more conclusive.
However, the only way to be absolutely sure of the diagnosis is to remove the nodule.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16707370&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14506672&dopt=Abstract

http://www.medscape.com/viewarticle/530642

Other will hopefully give you their personal experience.

GL
GravesDiseaseAndRAI
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