Thyrotoxic patient with nodule is treated with:
Ans: c (Radiotherapy) Ref: Bailey, 24th ed, p. 793, Harrison, 16th ed, p. 2122, Davidson, 20th ed, p. 760Treatment of toxic nodule"Surgery or radioiodine treatment is appropriate. Resection is easy, and without morbidity. Radio iodine is a good alternative for people over 45 years of age because the suppressed thyroid tissue does not take up the iodine and thus there is no risk of delayed thyroid malignancy."- Bailey"A solitary autonomously functioning nodule is toxic adenoma. Treatment of solitary nodule is radioiodine ablation. Here the normal thyroid function is suppressed. I131 will concentrate in the hyperfunctioning nodule with minimal uptake and damage to the normal surrounding thyroid tissue."- Harrison"In toxic MNG the treatment of choice is Il31. The iodine uptake is lower than in Graves disease. So a higher dose is employed."- DavidsonFrom the above texts, it is clear that the treatment is radiotherapy.
Surgery
Medical therapy
Radiotherapy
Anti thyroid drugs followed by surgery
Thyroid Gland