case continued

I thought the ideal treatment would have been removal of the adenoma at an earlier stage itself or atleast now. 131 I ablation would be another choice. but in my practice i found that patients with toxic adenoma end up having hypothyroidism after RAI, though it should not happen theoretically. hence my choice would be a hemithyroidectomy in this case. In the given case medical therapy is being continued as per patient,s preference.