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Question
Posted by: Lizette | 2008/07/09

Graves Desease

My husband has Graves desease. his on proponolol and "nucarbazol"(not sure of spelling.) 1.5 mnths now. His swelling gets worse at times. his got swolan glands in his breasts and other parts. Hes got cold and hot spots according to scan. How will we know when they will operate and is the size of the goiter and nodes suppose to go down. His goiter is 84mm & with the nodes 114mm. Can we know if its malignant without a biopsy.
Thanks

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Our expert says:
Expert ImageCyberDoc

Hi Lizette
For more info see : http://www.mayoclinic.com/health/graves-disease/DS00181
They will usually treat this with medication, unless the treatment does not work or is too uncomfortable for the patient. Other options are to give radioactive treatment to radiate the thyroid, reducing the hyperactivity. Usually they monitor the nodules, and if a patient has a cold single nodule the risk of cancer is higher than when the patient has multiple nodules. If a specific nodule enlarges, the doctor will take a needle biopsy to exclude cancer. Graves is an auto-immune disease - his own antibodies attack his thyroid tissue and the medication that he is taking is just symptomatic. You can take immune suppressing medication to reduce the antibody reaction - this is best managed by a rheumatologist or physician specializing in endocrine diseases.
Dr Bets

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