MF (Fernandez), 63 years old, female, with a 3-cm thyroid nodule on the right.
Told to have an operation before consulting me for a second opinion in March 2015.
I did a needle evaluation and aspiration. I got 3 cc of brown colloid fluid and the size of the mass was dramatically reduced in size. My diagnosis was a colloid adenomatous nodule. I prescribed levothyroxine. After one month, the thyroid nodule was 2.5 cm. After another month, it reduced to 2 cm. In 6 to7 months, there was complete disappearance of a palpable thyroid nodule.
She is now on levothyroxine maintenance.
Last follow-up on October 2017, more than one and a half years after start of treatment, there was still no palpable thyroid nodule nor thyroid enlargement.
The patient does not need to undergo thyroid surgery afterall.