Bonjour, j'ai un nodule colloide hyperechogene de 18mm avec 3 micro nodule au pole inferieur du lobe droit de la throide, pensez-vous qu'il faut operer? Merci d'avance
Pas d'indication chirurgicale pour ce cas.
En effet l’évolution des nodules bénins se fait vers la régression spontanée ( 30 %) . La majorité des nodules restent stables. Une augmentation s'observe dans 20 à 25 % des cas. La transformation d’un nodule bénin en nodule malin est incertaine et rare.
Mais, la surveillance est necessaire, ellle a pour objectif de dépister un cancer passé inaperçu ou non diagnostiqué, l’apparition d’un dysfonctionnement thyroïdien ou la survenue d’une gêne fonctionnelle.
Cette surveillance associe examen clinique, échographie, dosage de TSH. Elle est programmée à 6 mois, 1 an, 18 mois puis sur un mode progressivement espacé à 2 ans, 5 ans, 10 ans en l’absence d’éléments, fonctionnellement ou morphologiquement, péjoratifs.
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