I have been diagnosed with having a multinodular goitre and hypothyroid (underactive). I'm on 100mg of thyroxine which I take in the morning. My endocrinologist sent me for an ultrasound. One of the nodules looked different so I was sent for an FNA. The result was a thy3f lesion and indeterminate result.
I was sent to see a NHS surgeon who said to remove half my thyroid and there was a 5% to 10% chance it maybe malignant. He said there are risks of removing all thyroid and its a bigger operation.
Shocked and wanting to avoid surgery I went for a second opinion from a private surgeon and he suggested removing the whole thyroid gland because then I don't have to have two surgeries if it turns out to be malignant and also because I have a multinodular goitre he said they are more likely to grow so get it removed. I also have hashimitos so he said my thyroid will give in anyway if it hasn't ready done so. He also said with a thy3f there is a 25% chance of malignancy. He said removing all at once reduces risks of going back into surgery if it turns out to be malignant.
Separately I asked about robotic surgery which is scarless but there are very different opinions on this. My NHS surgeon said it was rubbish and has left people with their arm not working. There is 1 surgeon in the UK who does it and his surgeries seem to be working. He does only 2 a month. Has anyone else had robotic surgery and what are your thoughts?
I am thinking conventional surgery removing half my thyroid instead of whole. If it turns out to be malignant I'll take that chance and go back in to remove whole. Will the scar be worse if they have to operate on me twice if it turns out to be malignant?
Has anyone else been in this dichotomy and what were your experiences and thoughts.
Are there any suggested alternatives I can pursue instead of surgery that anyone knows about?