Thyroidectomy refusal and long-term anti-thyroid use in toxic multi-nodular goitre

Abstract

Background: Definitive management for most patients with toxic goitres comprise thyroidectomy or radioiodine ablation. Method: We report a middle aged woman who refused surgery on personal grounds, and in the absence of radioiodine was managed long-term with oral anti-thyroid. Results: The clinical outcome was fair. Conclusion: Our study, the first report of long-term anti-thyroid use from our centre, highlight the peculiarities of management under this scenario.

Keywords

• Thyroidectomy refusal
• long-term anti-thyroid
• toxic multi-nodular goitre